Treatment of vascular malformation of venous type in buccal mucosa with polidocanol. Clinical case report
Vascular malformations (VM) are structural abnormalities that arise during fetal development. VM are classified into 4 groups: venous, capillary, lymphatic, and arteriovenous malformations. They occur with a frequency of 1.5% in the population. They can appear in any location within the oral cavity...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Facultad de Odontología de la Universidad Nacional del Nordeste (FOUNNE)
2023
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| Acceso en línea: | https://revistas.unne.edu.ar/index.php/rfo/article/view/6807 |
| Aporte de: |
| Sumario: | Vascular malformations (VM) are structural abnormalities that arise during fetal development. VM are classified into 4 groups: venous, capillary, lymphatic, and arteriovenous malformations. They occur with a frequency of 1.5% in the population. They can appear in any location within the oral cavity involving the submucosal plane. When they appear on the surface they present as a bluish-purple color that disappears when pressure is applied. These malformations should be treated as they can lead to thrombosis or secondary phleboliths. A 67-year-old female patient with no relevant medical history attended the Oral Pathology Clinic with a nodular violaceous lesion in the right jugal mucosa that she had noticed three days prior. The lesion, approximately 1 cm3 in size, was asymptomatic. The treatment was performed under local anesthesia using 1.7 ml of lidocaine with epinephrine via the mandibular technique. Subsequently, with the assistance of a maxillofacial surgeon and in a single session, the lesion's base was injected with 5 ml of microfoamed polidocanol using a dermal syringe. The patient was then scheduled for a follow-up appointment one week later to monitor post-treatment progress, which showed favorable evolution. The management of venous malformations depends on size, location, and associated complications. Stable malformations may not require treatment, while larger lesions can be treated with a combination of sclerotherapy and surgical excision. Sclerotherapy may be sufficient for small lesions, and it can reduce the risk of post-surgical bleeding in larger lesions. Low-flow vascular malformations can often be treated in a single session without complications. |
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