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Drobyshev A.Y.

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Dibirov T.M.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Topolnitsky O.Z.

Evdokimov Moscow State University of Medicine and Dentistry

Voznitsyn L.V.

Yevdokimov Moscow State University of Medicine and Dentistry

Arutyunov S.D.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Microfoam sclerotherapy of the head and neck venous malformations

Authors:

Drobyshev A.Y., Dibirov T.M., Topolnitsky O.Z., Voznitsyn L.V., Arutyunov S.D.

More about the authors

Journal: Endoscopic Surgery. 2022;28(5): 27‑32

DOI: 10.17116/endoskop20222805127

Views: 1005

Downloaded: 21

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Table of contents

To cite this article:

Drobyshev AY, Dibirov TM, Topolnitsky OZ, Voznitsyn LV, Arutyunov SD. Microfoam sclerotherapy of the head and neck venous malformations. Endoscopic Surgery. 2022;28(5):27‑32. (In Russ.)
https://doi.org/10.17116/endoskop20222805127

Подписка 2025 (Endoscopic Surgery)
МСФ на ЯМ
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OBJECTIVE

To improve the treatment methods of patients with venous malformations of the maxillofacial region.

MATERIAL AND METHODS

We carried out the treatment analysis of 63 patients with a diagnosis «head and neck venous malformation». The diagnosis was based on the main examination methods: interrogation, anamnesis, examination, functional tests (symptom of filling and compression, Valsalva’s test), color flow mapping ultrasound, computed tomography, magnetic resonance imaging. All patients with venous malformations underwent 3% Aethoxysklerol microfoam composition (obtained by L. Tessari method) sclerotherapy.

RESULTS

Results evaluation were conducted considering clinical examination, color flow mapping ultrasound, CT and MR images. Excellent clinical result was achieved in 52 patients (82%), good result — in 8 patients (13%), satisfactory — 3 patients (5%). The treatment of patients with head and neck venous malformations using Aethoxysklerol microfoam composition sclerotherapy can be considered as an independent method of treating patients with head and neck venous malformations.

CONCLUSION

Aethoxysklerol microfoam composition sclerotherapy is an effective and safe method of treatment of patients with head and neck venous malformations. Given the high efficiency, low invasiveness, minimal risk of complications the above-mentioned type of treatment should be considered as the first-line choice of treating patients with this pathology in the maxillofacial region.

Keywords:

venous malformation
microfoam therapy
sclerotherapy
Aethoxysklerol

Authors:

Drobyshev A.Y.

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Dibirov T.M.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Topolnitsky O.Z.

Evdokimov Moscow State University of Medicine and Dentistry

Voznitsyn L.V.

Yevdokimov Moscow State University of Medicine and Dentistry

Arutyunov S.D.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Contribution of Authors:

Concept and design of the study — A.Yu. Drobyshev, O.Z. Topolnitsky, L.V. Voznitsyn, S.D. Arutyunov

Data collection and processing — O.Z. Topolnitsky, L.V. Voznitsyn

Statistical processing of the data — T.M. Dibirov

Text writing — T.M. Dibirov, L.V. Voznitsyn

Editing — L.V. Voznitsyn

Received:

19.11.2021

Accepted:

24.12.2021

List of references:

  1. Voznitsyn LV, Topol’nitskii OZ, Yakovlev SV. Clinical aspects of maxillofacial venous dysplasia diagnostic in children. Rossiiskaya Stomatologiya. 2018;11(1):36-37. (In Russ.).
  2. Lowe L. Vascular malformations: Classification and terminology the radiologist need to know. Elsevier, Seminars un Roentgenology. 2012;7(2):106-117.  https://doi.org/10.1053/j.ro.2011.11.002
  3. Dan VN, Karmazanovskii GG, Narlyev KM. Potential of computed tomography in angiodysplasia diagnostic and choosing of surgical tactic. Khirurgiya. 1994;6:21-23. (In Russ.).
  4. Hoeger P. Vascular anomalies in Proteus syndrome. Clin Exper Dermatol. 2004;29(3):222-230.  https://doi.org/10.1111/j.1365-2230.2004.01513.x
  5. Enjolras O, Soupre V, Picard A. Classification of superficial vascular anomalies. Presse Med. 2010:39(4):457-464.  https://doi.org/10.1016/j.lpm.2009.07.029
  6. Mulliken JB. Vascular malformations of the head and neck. Vascular Birthmarks: Hemangiomas and Malformations. Philadelphia: Saunders. 1988;301-342.  https://doi.org/10.1093/med/9780195145052.001.0001
  7. Gomolyako IV, Galich SP, Gindich OA, Ogorodnik YaP. Morphological characteristics of capillary malformations of head and neck. Patologiya. 2014;1(30)20-24. (In Russ.).
  8. Enjorlas O, Picard A, Soupre V. Congenital haemangiomas and other rare infantile vascular tumours. Ann Chir Plast. 2006:51:339-346.  https://doi.org/10.1016/j.anplas.2006.07.006
  9. Hennedige A. Sturge-Weber syndrome and dermatomal facial port— wine stains: incidence, association with glaucoma, and pulsed tunable dye laser treatment effectiveness. Plast Reconstr Surg. 2008;121(4):1173-1180. https://doi.org/10.1097/01.prs.0000304606.33897.71
  10. Herborn CU, Goyen M, Lauenstein TC, Debatin JF, Ruehm SG, Kröger K. Comprehensive time-resolved MRI of peripheral vascular malformations. Am J Roentgenol. 2003;181(3):729-735.  https://doi.org/10.2214/ajr.181.3.1810729
  11. Hotamisligil G. The Proteus syndrome: association with nephrogenic diabetes insipidus. Clin Genet. 1990;38(2):139-144.  https://doi.org/10.1111/j.1399-0004.1990.tb03562.x
  12. Kenkel J. Vascular anomalies and lymphedema. Select Read Plast Surg. 2010;126(2):55-69.  https://doi.org/10.1097/PRS.0b013e3181df803d

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