Effect of foam sclerotherapy for the treatment of oropharyngeal venous malformation
10.3760/cma.j.issn.1673-0860.2018.03.008
- VernacularTitle: 泡沫硬化疗法治疗口咽部静脉畸形的效果分析
- Author:
Chuanqiang NIU
1
;
Hua JIANG
1
;
Shaoyi ZHOU
1
;
Gang SHEN
1
;
Haibo LI
1
;
Jing ZHANG
1
Author Information
1. Department of Interventional and Vascular Anomalies, Guangzhou Women Children Medical Center, Guangzhou 510623, China
- Publication Type:Journal Article
- Keywords:
Oropharynx;
Venous malformations;
Sclerotherapy
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2018;53(3):209-213
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and efficacy of foam sclerotherapy with polidocanol for the treatment of venous malformation in the oropharynx.
Methods:The clinical data of 21 children with venous malformation in the oropharynx treated by foam sclerotherapy were retrospectively analyzed. There were 10 males and 11 females, ranging in age from 1 month to 13 years, with a median age of 2.3 years. MRI was performed in all children, and the diagnosis was further confirmed by radiography. After general anesthesia, the oropharynx was exposed by opening device. Scalp acupuncture was used to pucture lesions and polidocanol foam was injected after the nidus was confirmed by digital subtraction angiography(DSA). The follow-up time ranged from 2-29 months, with a mean time of 15 months. The clinical symptoms, imaging data, therapeutic effects and postoperative complications were evaluated.
Results:Total numbers of treatment were 52 times, 1-6 times/case; 13 cases were cured, 7 cases was relieved and no response in one case. Postoperative swelling in 13 cases, fever in 3 cases, local mucosal ulcer in 2 cases, difficult extubation in 2 cases. No nerve injury, swallowing function damage and cardiopulmonary accidents were found in all patients.
Conclusion:Foam sclerotherapy with polidocanol in the treatment of venous malformation in the oropharynx is a safe and effective method.
