A series of 33 older patients with lip venous lake treated by sclerotherapy

Abstract

Background Venous lake lesion is a venous ectasia that can occur on the lips of older people. Although different therapies have been used, there is no guideline for treating this lesion. The purpose of this study was to evaluate whether sclerotherapy is an effective and acceptable option for treatment of venous lake lesions of the lips in older patients. Methods Medical records and images were retrieved from the archives of a geriatric dentistry clinic between 2005 and 2017. A total of 33 older patients treated with 5% ethanolamine oleate were included. Clinical information was selected and described. Results The female gender was predominant (64%), and the patients’ age ranged from 66 to 90 years. The majority of the patients were Caucasian (91%), and 82% were under treatment for hypertension. In 91% of the cases, the lesions were located on the lower lip and varied from 3 to 10 mm in diameter. A complaint period lasting longer than 2 years was reported by 58% of the patients. Color alteration was the most common type of esthetic complaint. Only one application of sclerotherapy was performed in 85% of the cases. For the remaining patients, two sessions were necessary. The total dose ranged from 0.3 to 0.9 ml. Complete regression of the lesions was observed in all cases. No complications or recurrences were reported. Conclusion Sclerotherapy with ethanolamine oleate is an effective, affordable, and predictable treatment for venous lake lesions of the lips in older patients.

Evaluation of sclerotherapy with different dilutions of ethanolamine oleate in the treatment of oral varicose veins

“…However, pain measurement is subjective, as the patient's response is binary ("yes" or "no"), making it impossible to obtain a numerical scale [15,16]. The use of techniques such as the Visual Analogue Scale (VAS) could assist in this data [17].…”

Dermoscope Guided Carbon Dioxide Laser Ablation-The First Report

“…Solar exposure has been reported to be an associating factor [6]. Reported treatments for VL include sclerotherapy (with polidocanol or ethanolamine oleate), intralesional radiofrequency abrasion (by an intralesional probe to induce lesion destruction), diode laser (to induce dehydration) and electrocautery [7][8][9][10].…”

Aesthetic Treatment Outcomes of Capillary Hemangioma, Venous Lake, and Venous Malformation of the Lip Using Different Surgical Procedures and Laser Wavelengths (Nd:YAG, Er,Cr:YSGG, CO2, and Diode 980 nm)

“…On the other hand, venous malformations (VM) represent another frequent vascular lesion of the head and neck region with a prevalence of 50% and with a clinical aspect of soft, compressible, non-pulsatile blue-violaceous papules or nodules that can increase in size [ 2 , 3 ]. Furthermore, venous lake (VL) is a common benign vascular lesion defined as vascular ectasias formed from dilated venules located in the upper dermis [ 2 , 3 , 4 ].…”