Sclerotherapy as an esthetic indication in oral vascular malformations: a case series

Manzano, Brena Rodrigues; Premoli, Aloizio Maciel; Santaella, Natalia Garcia; Ikuta, Carla Renata Sanomiya; Rubira, Cássia Maria Fisher; Santos, Paulo Sérgio da Silva

doi:10.1016/j.abd.2019.09.010

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Investigation • An. Bras. Dermatol. 94 (5) • Nov-Dec 2019 • https://doi.org/10.1016/j.abd.2019.09.010 copy

Sclerotherapy as an esthetic indication in oral vascular malformations: a case series^☆ ☆ How to cite this article: Manzano BR, Premoli AM, Santaella NG, Ikuta CR, Rubira CM, da Silva Santos PS. Sclerotherapy as an esthetic indication in oral vascular malformations: a case series. An Bras Dermatol. 2019;94:521-6. ^☆☆ ☆☆ Study conducted at the Graduate Studies Clinic in Stomatology and Radiology, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Background

The use of monoethanolamine oleate 5% is effective for the treatment of vascular malformations with low blood flow.

Objectives

To report a case series of vascular malformations in the mouth and oral cavity treated with monoethanolamine oleate 5%.

Methods

A retrospective descriptive study was performed in electronic patient charts covering seven years. Patient demographics, diagnostic resources, lesion site, size, and number of applications of monoethanolamine oleate 5% were collected.

Results

A total of 21 vascular malformations were recorded, located mostly on the lower lip (52.3%) and resolved in a single application in 14 patients. The authors found 19 patients treated with sclerotherapy. Thirteen were women and six were men, with a mean age of 61 years.

Study limitation

Small sample size.

Conclusions

Sclerotherapy is an effective treatment for vascular malformations of the lips and oral cavity, with resolution after only one or two applications (n = 16).

KEYWORDS
Mouth; Sclerotherapy; Vascular malformations

Patient	Age	Sex	Race	Symptomatology	Evolution	Associated factor	Location of VM
1	58	M	Black	Asymptomatic	27 months	Bit an object	Lower lip
2	63	F	White	Asymptomatic	10 months	Not reported	Buccal mucosa
3	62	F	White	Asymptomatic	10 years	History of varices	Upper lip
4	60	F	White	Asymptomatic	2 months	History of varices	Labial mucosa
5	49	M	White	Asymptomatic	20 years	Not reported	Lower lip
6	74	F	White	Asymptomatic	15 years	Not reported	Lower lip
7	62	M	White	Symptomatic	20 years	History of trauma	Upper lip
8	82	M	White	Asymptomatic	4 years	HRT	Upper lip
9	65	F	Not reported	Asymptomatic	10 years	HRT	Lips
10	61	F	Black	Asymptomatic	3 months	HRT	Lower lip
11	61	F	White	Asymptomatic	25 years	Bit her own lip	Lower lip
12	21	F	White	Asymptomatic	3 months	Not reported	Upper lip
13	48	F	White	Symptomatic	8 years	Not reported	Buccal mucosa
14	59	F	White	Not reported	2 years	History of trauma	Lower lip
15	68	F	Brown	Asymptomatic	40 years	Associated with previous pregnancy	Lower lip
							Labial commissure
16	63	F	White	Asymptomatic	6 years	History of trauma + HRT	Lower lip
17	63	M	White	Asymptomatic	2 years	HRT	Lower lip
18	69	F	White	Asymptomatic	1 year	Treatment for vascular disease	Lower lip
							Upper lip
19	64	M	White	Asymptomatic	4 years^a a As described on patient chart.	Not reported	Lower lip

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[1] * Corresponding author. E-mail:brenamanzano@usp.br (B.R. Manzano).