Microfoam sclerotherapy for treating a venous malformation on the child’s in a 16-year-old child

Abstract

Introduction. Congenital vascular malformation is one of the most difficult pathologies in modern vascular surgery. Due to a large variability of lesions in each case, a personalized approach is required.Material and Methods. A 16-year-old girl with a right half – face venous malformation was consulted in the clinic. While visiting a local clinic at the place of her residence, she was proposed to have a radical excision of the lesion, but her parents refused of it. Our additional examination revealed a subtotal lesion of the right masticatory muscle with invasion into the upper lip and in the area of nasolabial triangle. It was decided not to do an open surgery because of the volume and location of the lesion. The patient had the staged sclero-obliteration of angiomatous tissues.Results. After the treatment, the lesion was significantly reduced in size; there was a complete relief of pain syndrome; in addition, the patient’s face became more symmetrical. Conclusion. An individual approach when choosing the optimal tactics for the treatment of venous malformations allows to achieve the best functional and cosmetic outcomes.