Digital subtraction angiography (DSA) guided sequential sclerotherapy for maxillofacial vein malformation

J. Meng, Q.-w. Zhuang, Q.-p. Gu, J. Zhang, Z.-p. Li, Y.-m. Si

Department of Stomatology, Xuzhou Central Hospital, Affiliated Xuzhou Hospital, College of Medicine, Southeast University, Xuzhou, China. mrocket@126.com

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• Maxillofacial Surgery

OBJECTIVES: Venous malformations commonly occur in the head and neck and affect the patient’s appearance and also cause pain, ulcers, and bleeding. Current treatment options have many limitations and it is necessary to explore alternate methods to address these malformations. This work was aimed to explore the best method for treating patients with maxillofacial vein malformation.

PATIENTS AND METHODS: Guided by digital subtraction angiography, 43 patients with maxillofacial vein malformation were treated with sequential sclerotherapy intervention.

RESULTS: Patients were followed up for 7 months to 3 years. Lesions completely recessed in 7 cases. Recession rates were greater than 50% in 28 cases, 25-50% in 5 cases, and less than 25% in 3 cases. No severe complications occurred.

CONCLUSIONS: Sclerotherapy with ethanol and pingyangmycin is a safe and effective method of treating maxillofacial vein malformation.

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