Abstract
Background. Soft tissue haemangiomas are non-malignant lesions; some optional management could be chosen. Sclerotherapy by the sclerosing agent has been used in the management of haemangiomas. Method. We performed intramucous embolization of haemangioma in three patients. The procedure was conducted under general anesthesia. The sclerosing agent used was an absolute alcohol 98% at a dose of 10ml, 5ml, and 2ml in each patient. After the procedure, they received analgesics and antibiotic therapy. One month after the sclerosing treatment, all patients underwent reconstruction surgery. Result. The evaluation was performed several days after the injection. The pain and tissue swelling occurs in the first week and gradually decreased each day until the second week. The final result was evaluated after the patient undergone reconstruction surgery. All patientâs parent were satisfied. Conclusions. The intralesional sclerotherapy of haemangioma using absolute alcohol proved to be a safe, cheap and effective method to achieve preoperative devascularization of hemangiomas
Highlights
BackgroundSoft tissue haemangiomas are non-malignant lesions that can be conveniently categorized as capillary, venous and cavernous [1,2]
Soft tissue haemangiomas are non-malignant lesions; some optional management could be chosen
Local infarction and thrombosis will result in the spontaneous resolution of a haemangioma
Summary
Soft tissue haemangiomas are non-malignant lesions that can be conveniently categorized as capillary, venous and cavernous [1,2]. Management of haemangiomas of the head and neck poses too many problems that one-set solution naturally becomes impossible [3,5]. Sclerosing solutions have been used in the management of haemangiomas for more than 100 years. Many different sclerosing agents are used [6,7] Among these are sodium tetradecyl sulfate (3% sterol), sodium morrhuate, sodium citrate, monoethanolamine oleate, invert sugar, boiling water and sodium phyllite [8,9,10]. This case report of a haemangioma of the right upper lip, successfully treated with an injection of absolute alcohol (98%) continued with reconstruction surgery
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