J Korean Assoc Oral Maxillofac Surg.  2010 Aug;36(4):280-285. 10.5125/jkaoms.2010.36.4.280.

Sclerotherapy of benign oral vascular lesion with sodium tetradecyl sulfate: cases report

• Kim KW
• Sang JK
• Cheong JH

• KMID: 1457780
• DOI: http://doi.org/10.5125/jkaoms.2010.36.4.280

Abstract

Hemangioma and vascular malformation is a common vascular benign lesion in the head and neck region. The lesion is a congenital malformation observed in neonates. The treatment this lesion includes surgical excision, cryotherapy, selective embolization and treatment with sclerotic agents. We present three cases of benign oral vascular lesions treated with an intralesional injection of sodium tetradecyl sulfate. The lesions virtually disappeared after three sessions of sclerotherapy, leaving an inconspicuous scar. No side effects were observed. Sclerotherapy with sodium tetradecyl sulfate is effective in treating benign oral vascular lesions, and the use of the sodium tetradecyl sulfate provides alternative or support for surgical methods.

Keyword

Sclerotherapy; Hemangioma; Vascular malformations

MeSH Terms

Cicatrix
Cryotherapy
Head
Hemangioma
Humans
Infant, Newborn
Injections, Intralesional
Neck
Sclerotherapy
Sodium
Sodium Tetradecyl Sulfate
Vascular Malformations
Sodium
Sodium Tetradecyl Sulfate

Figure

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  Fig. 1. Bluish lesion on the labial mucosa of 1-year-old male before sclerotherapy.

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  Fig. 2. Increased signal intensity is shown on the lesion area. A. Preoperative MRI T2W1 axial view, B. Preoperative MRI T2W1 coronal view.(MRI: magnetic resonance imaging)

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  Fig. 3. Three weeks after the injection of sodium tetradecyl sulfate. The lesion regressed almost completely.

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  Fig. 4. Bluish macular lesion on the right buccal mucosa of 9-year-old male before injection.

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  Fig. 5. High signal is seen on the right buccal mucosa. A. Preoperative MRI T2W1 axial view, B. Preoperative MRI T2W1 coronal view.

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  Fig. 6. Four weeks after initial sclerotherapy.

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  Fig. 7. Two weeks after the second injection of sclerosant. The lesion regressed, leaving an inconspicuous scar.

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  Fig. 8. Large vascular lesion on the palate of 22-year-old male before sclerotherapy.

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  Fig. 9. High intensity is seen on the lesion area. The lesion involved hard and soft palate and buccal mucosa. A. Preoperative MRI T2W1 axial view, B. Preoperative MRI T2W1 coronal view.

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  Fig. 10. Three weeks after initial sclerotherapy.

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  Fig. 11. Four weeks after second sclerotherapy. Recovery of normal color and surface texture is seen.

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  Fig. 12. The lesion regressed considerably, but small signal void is observed in central area of the lesion. A. Postoperative MRI T2W1 axial view, B. Postoperative MRI T2W1 coronal view.

Reference

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