Guidelines and parameters: percutaneous sclerotherapy for the treatment of head and neck venous and lymphatic malformations

Heit, Jeremy J; M., Huy; Prestigiacomo, Charles J.; Almandoz, J Delgado; English, Joey; Gandhi, Chirag D.; Albuquerque, Felipe C; Narayanan, Sandra; Blackham, Kristine A; Abruzzo, Todd; Albani, Barbara; Fraser, Justin F.; Heck, Don; Hussain, Muhammad Shazam; Lee, Seon-Kyu; Ansari, Sameer A; Hetts, Steven W.; Bulsara, Ketan R.; Kelly, Michael; Arthur, Adam S; Patsalides, Athos; Pride, G. Lee; Powers, Ciarán J.; Alexander, Michael J.; Meyers, Philip M.; Jayaraman, Mahesh

doi:10.1136/neurintsurg-2015-012255

Cited by 36 publications

(52 citation statements)

References 66 publications

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“…The International Society for the Study of Vascular Anomalies Classification divides vascular anomalies into two primary biological categories: (1) Vasoproliferative or vascular neoplasms and (2) Vascular Malformations [11,12]. In our case, the lesion was present in the lips since childhood, and it was gradually increasing in size which can be correlated with the features of haemangioma.…”

Section: Discussionmentioning

confidence: 53%

Intralesional Sclerotherapy Using Absolute Alcohol for Management of Haemangioma

Laidding¹,

Marthin²,

Josh³

et al. 2017

AJMSM

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Background. Soft tissue haemangiomas are non-malignant lesions; some optional management could be chosen. Sclerotherapy by the sclerosing agent has been used in the management of haemangiomas. Method. We performed intramucous embolization of haemangioma in three patients. The procedure was conducted under general anesthesia. The sclerosing agent used was an absolute alcohol 98% at a dose of 10ml, 5ml, and 2ml in each patient. After the procedure, they received analgesics and antibiotic therapy. One month after the sclerosing treatment, all patients underwent reconstruction surgery. Result. The evaluation was performed several days after the injection. The pain and tissue swelling occurs in the first week and gradually decreased each day until the second week. The final result was evaluated after the patient undergone reconstruction surgery. All patient's parent were satisfied. Conclusions. The intralesional sclerotherapy of haemangioma using absolute alcohol proved to be a safe, cheap and effective method to achieve preoperative devascularization of hemangiomas

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Section: Discussionmentioning

confidence: 53%

Intralesional Sclerotherapy Using Absolute Alcohol for Management of Haemangioma

Laidding¹,

Marthin²,

Josh³

et al. 2017

AJMSM

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“…3 Microcystic lesions, however, respond poorly to both types of treatment and often require several procedures. 1 In our case, our patient's macrocystic lesion was treated with both doxycycline and STS sclerotherapy with excellent results.…”

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confidence: 70%

“…4 Lymphatic malformations typically exist as soft, easily compressible, cystic lateral neck masses, similar to branchial cleft cysts, dermoid cysts, and other vascular malformations. 1 Unlike venous malformations or air-filled anomalies such as larynogceles and pharyngoceles, LMs will not increase in size with Valsalva and are not compressible. They also lack the bruit that is characteristic of high-flow vascular malformations.…”

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confidence: 99%

A Child With a Lateral Neck Mass

Daram

Mitchell

2019

Ear Nose Throat J

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Lateral neck masses in children fall into 3 broad categories: congenital, inflammatory, and neoplastic. The differential for a soft, compressible, congenital lateral neck mass includes most commonly, branchial cleft or dermoid cysts, along with ranulas, superior mediastinal cysts, pharyngoceles, laryngoceles, and vascular anomalies including hemangiomas, vascular malformations, or phlebectasias. 1 We present a lateral neck mass that was initially diagnosed as a branchial cleft cyst but was later correctly diagnosed as a lymphatic malformation (LM) and was treated nonsurgically.A 6-year-old female was referred for a right neck mass. She was a full-term child without previous hospitalizations or surgeries. Examination revealed a 4-cm discrete, soft, compressible mass in the right lateral neck posterior to the middle onethird of the sternocleidomastoid muscle, extending inferiorly to the supraclavicular fossa. A computed tomography (CT) neck with contrast showed a well-circumscribed, fluid-filled, cystic mass, posterior, and deep to the right sternocleidomastoid, extending from the level of the hyoid superiorly to the clavicle inferiorly ( Figure 1) with medial displacement and compression of the right internal jugular vein and right lobe of the thyroid. A magnetic resonance imaging (MRI) showed a septated, macrocystic mass with blood-fluid levels (Figure 2), and the diagnosis of macrocystic LM was made that was amenable for sclerotherapy. She underwent sclerotherapy under general anesthesia with a total of 500 mg of doxycycline and 1 mL of 3% Sotradecol (STS) in foam, which she tolerated without complications. At 1-month follow-up, no residual LM was palpated.Lymphatic malformations are congenital, low-flow vascular anomalies filled with chyle that consist of collections of abnormal lymphatic vessels composed of normal appearing, flattened endothelial layers. 2,3 First described in 1843 by Werhner, these lesions were originally termed cystic hygromas or lymphangiomas. They were reclassified as LMs by the International Society for the study of vascular anomalies. 2 Lymphatic malformations can present as late as early childhood, though up to 60% are noted at perinatally and almost 90% by the age of 2. 2 The majority occur in the head and neck and fall into 3 categories: marocystic where all loculations are >2 mL, microcystic where all loculations are <2 mL, and mixed lesions. 3 Lymphatic malformations grow proportionally with the child, lack the proliferative phase of hemangiomas, and are associated with continued, steady growth rather than spontaneous regression. 4 Lymphatic malformations typically exist as soft, easily compressible, cystic lateral neck masses, similar to branchial cleft cysts, dermoid cysts, and other vascular malformations. 1 Unlike venous malformations or air-filled anomalies such as larynogceles and pharyngoceles, LMs will not increase in size with Valsalva and are not compressible. They also lack the bruit that is characteristic of high-flow vascular malformations. 3 Lymphatic malformations are...

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“…For asymptomatic VMs with only minimal deformity, observation is the most appropriate treatment 10. However, in the eyelid, even a small lesion can cause malfunction of the eyelid and the area is cosmetically so distinct that the patient can be easily distracted.…”

Section: Discussionmentioning

confidence: 99%

“…Over the past decades, percutaneous sclerotherapy has emerged as the first modality in the treatment of VMs 10. Pingyamycin, which is bleomycin, has been used in orbital and periorbital VM sclerotherapy with good outcomes 5 6.…”

Section: Discussionmentioning

confidence: 99%

Bleomycin sclerotherapy for eyelid venous malformations as an alternative to surgery or laser therapy

Shigematsu

Sorscher

Dier

et al. 2018

J NeuroIntervent Surg

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Guidelines and parameters: percutaneous sclerotherapy for the treatment of head and neck venous and lymphatic malformations

Cited by 36 publications

References 66 publications

Intralesional Sclerotherapy Using Absolute Alcohol for Management of Haemangioma

Intralesional Sclerotherapy Using Absolute Alcohol for Management of Haemangioma

A Child With a Lateral Neck Mass

Bleomycin sclerotherapy for eyelid venous malformations as an alternative to surgery or laser therapy

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