Abstract
Background: Vascular lesions presentation very with age & anatomical location. There are no parameters to assess its therapeutic efficacy. Objective: This prospective experimental study was designed to find out the effectiveness of Sclerotherapy with Ethanol Amine Oleate in the treatment of Benign Oral and Perioral Vascular Lesions. Methods: In this study, 32 patients, aged 1½ to 40 years with oral and perioral vascular lesions were included. Diagnosis was made by accurate history, clinical examination and in some cases Color Doppler examination, MRI and/or Angiogram were done for confirmation. Intralesional injection of Ethanol Amine Oleate was given at an interval of 2weeks between each session. Photographs were also taken during subsequent session to document the effect of injection. Results: At 8weeks after the final Sclerotherapeutic session, the results were graded as: Excellent: for extinguished and symmetrical appearance obtained; Good: for definitive reduction obtained; Fair: for slight reduction obtained and Poor: for lesion unchanged or worsened. Results with grades, excellent and good are considered effective. The efficacy of the treatment was evaluated 8 weeks after the final Sclerotherapeutic session. Out of 32 patients, 34.4% had excellent result, 53.1% had good result, 6.3% had fair result and 6.3% had poor result. Conclusion: Sclerotherapy with Ethanol Amine Oleate is a safe and less invasive method with minimal risk to the patient. It can be the treatment of choice for symptomatic Vascular lesions. Key words: Vascular Lesions (VLs); Sclerotherapy; Ethanol Amine Oleate (EAO). DOI: http://dx.doi.org/10.3329/bsmmuj.v4i2.8641 BSMMU J 2011; 4(2):110-115
Highlights
Vascular Lesions of the head and neck encompass a wide range of different lesions.[1]
These are classified by the International Society for the Study of Vascular Anomalies (ISSVA) as Hemangiomas and Vascular Malformations
The outcome of the Sclerotherapy was: 11 (34.4%) had excellent result, 17 (53.1%) had good result, 2 (6.3%) had fair result and 2 (6.3%) had poor result (Fig.-1) & photograph
Summary
Vascular Lesions of the head and neck encompass a wide range of different lesions.[1] These are classified by the International Society for the Study of Vascular Anomalies (ISSVA) as Hemangiomas and Vascular Malformations This classification was first described by Mulliken and Glowacki in 1982 on the basis of clinical behavior and endothelial cell characteristics. Objective: This prospective experimental study was designed to find out the effectiveness of Sclerotherapy with Ethanol Amine Oleate in the treatment of Benign Oral and Perioral Vascular Lesions. Conclusion: Sclerotherapy with Ethanol Amine Oleate is a safe and less invasive method with minimal risk to the patient. It can be the treatment of choice for symptomatic Vascular lesions
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