Ethanol sclerotherapy of head and neck venous malformations.

Autor: Orlando JL; Hospital AC Camargo, São Paulo, SP, Brazil., Caldas JG; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Campos HG; Hospital AC Camargo, São Paulo, SP, Brazil., Nishinari K; Hospital AC Camargo, São Paulo, SP, Brazil., Krutman M; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Wolosker N; Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Jazyk: English; Portuguese
Zdroj: Einstein (Sao Paulo, Brazil) [Einstein (Sao Paulo)] 2014 Apr; Vol. 12 (2), pp. 181-6.
DOI: 10.1590/s1679-45082014ao2844
Abstrakt: Objective: This retrospective study evaluated the results of sclerotherapy with low doses of ethanol for treatment of head and neck venous malformations.
Methods: We treated 51 patients, 37 females. Median age was 23 years. Patients were treated with percutaneous intralesional injection of alcohol every two weeks and followed up prospectively for a median period of 18 months. Most lesions affected the face and cosmetic disfigurement was the most frequent complaint.
Results: We performed a median of 7 sessions of sclerotherapy. Complete resolution or improvement was observed in 48 patients presented. Five cases of small skin ulceration, two cases of hyperpigmentation and two of paresthesia were documented; all of them were treated conservatively.
Conclusion: Percutaneous sclerotherapy with low doses of ethanol is a safe and effective treatment modality for venous malformations affecting the head and neck.
Databáze: MEDLINE