Intralesional Sclerotherapy with Polidocanol in the Management of Head and Neck Vascular Lesions
Journal Title: Bengal Journal of Otolaryngology and Head Neck Surgery - Year 2016, Vol 24, Issue 3
Abstract
IntroductionVascular lesions (Hemangioma or vascular malformation) in the head and neck region are quite common and need therapeutic intervention if they become symptomatic or cosmetically unacceptable. Different therapeutic modalities including cryotherapy, corticosteroids, laser therapy, sclerotherapy, surgery and/or embolization are available. Advances in laser surgery as well as sclerotherapy techniques have improved our ability to treat extensive lesions. Surgical excision sometimes becomes very difficult due to massive per-operative bleeding and proximity to major neurovascular structures. In this study we have tried to find a simpler, easily available, safe and cost-effective therapy to treat these vascular lesions.Materials and Method A pilot case study was conducted in a tertiary care hospital in Kolkata for a period of one year. Polidocanol was selected as the sclerosing agent for treatment of head and neck vascular lesions for its safety and its local anesthetic effect. 3% Polidocanol was injected in 20 lesions.Result20 patients with head and neck vascular lesions treated with polidocanol sclerotherapy were followed up for 12 months. The study included 20 patients (12 female and 8 male) with mean age 20.3 years (range 6-62 years). Of these 20 patients 14 had 90% to 100% result and in 6 patients we obtained only mild improvement.DiscussionSclerotherapy is now becoming the first choice of treatment in head and neck vascular lesions. Polidocanol is a mixture of 5% ethyl alcohol and 95% hydroxypolyethoxydodecane, the detergent action of which induces a rapid overhydration of endothelial cells, leading to vascular injury and regression of vascular lesions. As the same time it is a local anesthetic, so treatment is painless.ConclusionIt is a less invasive, cost effective, painless OPD based management for head and neck vascular lesions having good functional and aesthetic outcome.
Authors and Affiliations
Arindam Das, Anindita Sengupta, Debashis Ghosh, Deepjoy Bose, Subhadip Dhara, Arunabha Sengupta
Keywords
Related Articles
- EP ID EP433940
- DOI -
- Views 42
- Downloads 0
Frontoethmoid Mucocele causing Unilateral Proptosis
Introduction Mucoceles occur most frequently in the frontal and ethmoidal sinuses, without gender prevalence. Presenting symptoms can include facial pain, headache, nasal obstruction, diplopia, decreased visual acuity, o...
A Complicated Case of Foreign Body Oesophagus in an Infant
Ingestion of foreign bodies is common primarily in children, psychiatric patients, alcoholics and elderly people who use dentures. Selivanov et al. reported that, in most cases of foreign body ingestion, the most common...
The Voice and Voice Culture
Voice may be regarded as the first instrument of man because mankind was endowed with voice even before the invention of instruments. It is a universal instrument of music. It is the only musical instrument common to all...
Endoscopic Tympanomastoid Surgery - Our Experience
Introduction In last few decades medical science has seen resurgence of minimally invasive surgery by development of endoscopes with adequate illumination, magnification and image quality. Although operating microscope...
Occult Foreign Bodies in ENT
IntroductionForeign bodies are common ENT emergencies. Histories are usually forthcoming from the patient himself or the relatives . Three occult foreign bodies are reported here, which were missed even by treating docto...