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Management of Vascular Malformations in Dangerous Area of Oral Cavity: The Iranian Experience and Review of Treatment Modalities

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DOI: 10.4236/ojst.2014.43018    3,737 Downloads   5,067 Views   Citations

ABSTRACT

Aim: To evaluate the effect of a highly potent corticosteroid (dexamethasone) in the treatment of vascular malformation when the location is difficult to reach and complications such as uncontrolled bleeding is predictable in surgery. Background: Vascular malformation is not a common lesion in oral cavity especially in alveolar ridge with extension to the pillar uvula. These lesions arise from capillary or venous malformations with various surgical or non-surgical treatment modalities. Case Description: We performed weekly intralesional injection of dexamethasone in a patient with a vascular malformation in alveolar ridge extending to the lingual side of alveolar ridge and posterior extension to the uvula. Complete resolution of lesion was observed after 6th injection. Conclusion: Intralesional injection of dexamethasone is a potentially curative method to treat oral vascular malformation. Clinical Significance: Injection of dexamethasone is a simple and cost-effective therapy that can be used as a safe treatment for vascular malformations prior to or as a substitute for surgery.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Alirezaei, S. , Baharvand, M. , Rezaei, M. , Azizi, A. and Tavakoli, B. (2014) Management of Vascular Malformations in Dangerous Area of Oral Cavity: The Iranian Experience and Review of Treatment Modalities. Open Journal of Stomatology, 4, 115-120. doi: 10.4236/ojst.2014.43018.

References

[1] Finn, M.C., Glowacki, J. and Mulliken, J.B. (1983) Congenital Vascular Lesions: Clinical Application of a New Classification. Journal of Pediatric Surgery, 18, 894-900.
http://dx.doi.org/10.1016/S0022-3468(83)80043-8
[2] Mulliken, J.B. and Glowacki, J. (1982) Hemangiomas and Vascular Malformation in Infants and Children: A Classification Based upon Endothelia Characteristics. Plastic and Reconstructive Surgery, 69, 412-422.
http://dx.doi.org/10.1097/00006534-198203000-00002
[3] Jackson, I.T., Carreno, R., Potparic, Z. and Hussain, K. (1993) Vascular Malformations, and Lymphovenous Malformations: Classification and Methods of Treatment. Plastic and Reconstructive Surgery, 91, 1216-1230.
http://dx.doi.org/10.1097/00006534-199306000-00006
[4] Waner, M. and Suen, J.Y. (1999) Hemangiomas and Vascular Malformations of the Head and Neck. Wiley-Liss, New York, 1-12.
[5] Pence, B., Aybey, B. and Ergenekon, G. (2005) Outcomes of 532 nm Frequency-Doubled Nd:YAG Laser Use in the Treatment of Port-Wine Stains. Dermatologic Surgery, 31, 509-517.
http://dx.doi.org/10.1111/j.1524-4725.2005.31152
[6] Poetke, M., Urban, P., Philipp, C. and Berlien, H.P. (2005) Hemangiomas-Classification, Diagnostic and Laser Treatment. Przeglad Flebologiczny, 13, 77-84.
[7] Mathur, N.N., Rana, I., Bothra, R., Dhawan, R., Kathuria, G. and Pradhan, T. (2005) Bleomycinsclerotherapy in Congenital Lymphatic and Vascular Malformations of Head and Neck. International Journal of Pediatric Otorhinolaryngology, 69, 75-80.
http://dx.doi.org/10.1016/j.ijporl.2004.08.008
[8] Muir, T., Kirsten, M., Fourie, P., Dippenaar, N. and Ionescu, G.O. (2004) Intralesionalbleomycin Injection (IBI) Treatment for Haemangiomas and Congenital Vascular Malformations. Pediatric Surgery International, 19, 766-773.
http://dx.doi.org/10.1007/s00383-003-1058-6
[9] Yamaki, T., Nozaki, M. and Sasaki, K. (2000) Color Duplex-Guided Sclerotherapy for the Treatment of Venous Malformations. Dermatologic Surgery, 26, 323-328.
http://dx.doi.org/10.1046/j.1524-4725.2000.99248.x
[10] Rimon, U., Garniek, A., Galili, Y., Golan, G., Bensaid, P. and Morgan, B. (2004) Ethanol Sclerotherapy of Peripheral Venous Malformations. European Journal of Radiology, 52, 283-287.
http://dx.doi.org/10.1016/j.ejrad.2003.09.010
[11] Shireman, P.K., McCarthy, W.J., Yao, J.S. and Vogelzang, R.L. (1997) Treatment of Venous Malformations by Direct Injection with Ethanol. Journal of Vascular Surgery, 26, 838-844.
http://dx.doi.org/10.1016/S0741-5214(97)70098-3
[12] Yakes, W.F., Haas, D.K., Parker, S.H., et al. (1989) Symptomatic Vascular Malformations: Ethanol Embolotherapy. Radiology, 170, 1059-1066.
[13] Berenguer, B., Burrows, P.E., Zurakowski, D. and Mulliken, J.B. (1999) Sclerotherapy of Craniofacial Venous Malformations: Complications and Results. Plastic and Reconstructive Surgery, 104, 12-15.
http://dx.doi.org/10.1097/00006534-199907000-00003
[14] de Lorimier, A.A. (1995) Sclerotherapy for Venous Malformations. Journal of Pediatric Surgery, 30, 188-193.
http://dx.doi.org/10.1016/0022-3468(95)90558-8

  
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