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: Mendoza, Emmanuel, López Verdín, Sandra, Magallón Martínez, Hector Rodrigo, Álvarez, Nicolas Santiago
Formato: Artículo revista
Lenguaje:Español
Publicado: Facultad de Odontología de la Universidad Nacional del Nordeste (FOUNNE) 2023
Materias:
Acceso en línea:https://revistas.unne.edu.ar/index.php/rfo/article/view/6807
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id I48-R154-article-6807
record_format ojs
institution Universidad Nacional del Nordeste
institution_str I-48
repository_str R-154
container_title_str Revistas UNNE - Universidad Nacional del Noroeste (UNNE)
language Español
format Artículo revista
topic Malformação Vascular
escleroterapia
polidocanol
Malformación vascular
escleroterapia
polidocanol
vascular malformation
sclerotherapy
polidocanol
spellingShingle Malformação Vascular
escleroterapia
polidocanol
Malformación vascular
escleroterapia
polidocanol
vascular malformation
sclerotherapy
polidocanol
Mendoza, Emmanuel
López Verdín, Sandra
Magallón Martínez, Hector Rodrigo
Álvarez, Nicolas Santiago
Treatment of vascular malformation of venous type in buccal mucosa with polidocanol. Clinical case report
topic_facet Malformação Vascular
escleroterapia
polidocanol
Malformación vascular
escleroterapia
polidocanol
vascular malformation
sclerotherapy
polidocanol
author Mendoza, Emmanuel
López Verdín, Sandra
Magallón Martínez, Hector Rodrigo
Álvarez, Nicolas Santiago
author_facet Mendoza, Emmanuel
López Verdín, Sandra
Magallón Martínez, Hector Rodrigo
Álvarez, Nicolas Santiago
author_sort Mendoza, Emmanuel
title Treatment of vascular malformation of venous type in buccal mucosa with polidocanol. Clinical case report
title_short Treatment of vascular malformation of venous type in buccal mucosa with polidocanol. Clinical case report
title_full Treatment of vascular malformation of venous type in buccal mucosa with polidocanol. Clinical case report
title_fullStr Treatment of vascular malformation of venous type in buccal mucosa with polidocanol. Clinical case report
title_full_unstemmed Treatment of vascular malformation of venous type in buccal mucosa with polidocanol. Clinical case report
title_sort treatment of vascular malformation of venous type in buccal mucosa with polidocanol. clinical case report
description 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.
publisher Facultad de Odontología de la Universidad Nacional del Nordeste (FOUNNE)
publishDate 2023
url https://revistas.unne.edu.ar/index.php/rfo/article/view/6807
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first_indexed 2024-08-21T22:37:13Z
last_indexed 2024-08-21T22:37:13Z
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spelling I48-R154-article-68072023-08-14T21:49:45Z Treatment of vascular malformation of venous type in buccal mucosa with polidocanol. Clinical case report Tratamiento de malformación vascular de tipo venoso en mucosa yugal con polidocanol. Informe de caso clínico Tratamento de malformação vascular do tipo venoso na mucosa jugal com polidocanol. Relato de caso clínico Mendoza, Emmanuel López Verdín, Sandra Magallón Martínez, Hector Rodrigo Álvarez, Nicolas Santiago Malformação Vascular escleroterapia polidocanol Malformación vascular escleroterapia polidocanol vascular malformation sclerotherapy polidocanol 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. Las malformaciones vasculares son anormalidades estructurales que surgen durante el desarrollo fetal, se clasifican en 4 grupos; malformaciones venosas, capilares, linfáticas, y arteriovenosas. Se presentan con una frecuencia del 1.5% en la población, pueden aparecer en cualquier localización de la cavidad bucal involucrando el plano submucoso, cuando aparecen en un plano superficial se presentan de color azul - violáceo el cual desaparece al aplicar presión. Estas deben ser tratadas ya que pueden forma trombosis o flebolitos secundarios. Se presenta paciente femenino de 67 años de edad sin antecedentes médicos de relevancia a la Clínica de Patología Bucal, ya que tres días antes notó una lesión nodular violácea en la mucosa yugal del lado derecho, ausente de sintomatología, de un tamaño aproximado de 1 cm3. El tratamiento fue realizado bajo anestesia local utilizando 1,7 mL de lidocaína con epinefrina con técnica mandibular, posteriormente en asesoría del cirujano maxilofacial y por única sesión se realizó la aplicación en la base de la lesión con jeringa dérmica infiltrando 5 mL de polidocanol micro espumado, posterior a eso se cita de nuevo en una semana para seguimiento post-tratamiento, con evolución favorable. El manejo de las malformaciones venosas depende del tamaño, localización y complicaciones asociadas. Malformaciones estables pueden no re querir tratamiento. Las lesiones grandes pueden ser tratadas con una combinación de escleroterapia y escisión quirúrgica. La escleroterapia única puede ser suficiente para lesiones pequeñas. En las lesiones grandes la escleroterapia puede disminuir el riesgo de sangrado posterior a la cirugía. Las malformaciones vasculares y de bajo flujo pueden ser tratadas en una sola sesión, sin complicaciones. As malformações vasculares são anormalidades estruturais que surgem durante o desenvolvimento fetal, sendo classificadas em 4 grupos; malformações venosas, capilares, linfáticas e arteriovenosas. Ocorrem com frequência de 1,5% na população, podem aparecer em qualquer local da cavidade oral envolvendo o plano submucoso, quando aparecem no plano superficial apresentam coloração azul-violeta que desaparece com a aplicação de pressão. Estes devem ser tratados, pois podem formar trombose ou flebólitos secundários. Apresenta-se uma paciente do sexo feminino, 67 anos, sem antecedentes médicos relevantes ao ambulatório de patologia bucal, pois há três dias notou lesão nodular violácea em mucosa bucal à direita, ausente de sintomas, de um tamanho de cerca de 1 cm3. O tratamento foi realizado sob anestesia local utilizando 1,7 mL de lidocaína com epinefrina com técnica mandibular, posteriormente em consulta com o cirurgião bucomaxilofacial e para uma única sessão a aplicação foi feita na base da lesão com uma seringa dérmica infiltrando 5 mL de micro -polidocanol espumado, depois disso, uma nova consulta é marcada em uma semana para acompanhamento pós-tratamento. O manejo das malformações venosas depende do tamanho, localização e complicações associadas. Malformações estáveis podem não exigir tratamento. Lesões grandes podem ser tratadas com uma combinação de escleroterapia e excisão cirúrgica. A escleroterapia única pode ser suficiente para pequenas lesões. Em lesões grandes, a escleroterapia pode reduzir o risco de sangramento após a cirurgia. Malformações vasculares e de baixo fluxo podem ser tratadas em sessão única, sem complicações. Facultad de Odontología de la Universidad Nacional del Nordeste (FOUNNE) 2023-08-14 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unne.edu.ar/index.php/rfo/article/view/6807 10.30972/rfo.1616807 Revista de la Facultad de Odontología; Vol. 16 Núm. 1 (2023); 44-48 2683-7986 1668-7280 spa https://revistas.unne.edu.ar/index.php/rfo/article/view/6807/6281 Derechos de autor 2023 Revista de la Facultad de Odontología