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E-028 Management of Tongue Venous and Lymphatic Malformations
  1. W Yakes
  1. Vascular Malformation Center, Englewood, CO

Abstract

Purpose To determine the efficacy of ethanol embolization in management of tongue venous and lymphatic malformations.

Materials and methods Thirty-nine patients (22 females, 17 males; mean age: 38 years) presented with tongue low-flow malformations. Forty-seven patients had undergone 61 failed previous procedures (embo, laser, surgery, steroid injection, alpha-interpheron, radiation). All patients had baseline arteriograms and MRs. All patients underwent direct puncture ethanol endovascular therapy.

Results Of 39 patients with venous and lymphatic malformations, 32 patients had dramatic reduction and 7 patients’ therapy is on-going with concurrent reductions (mean f/up: 60 months). One patient with AVM required additional surgery and 1 patient with mixed veno-lymphatic malformation required surgical debulking of excess tissues. Minor complications such as tongue blisters (9 instances) healed spontaneously; 3 tongue focal necrosis injuries healed spontaneously; 3 infections responded to antibiotic treatment; 1 focal tongue hemi numbness resolved.

Conclusion Ethanol embolotherapy is a primary and consistent form of therapy to eradicate low-flow vascular malformations of the tongue permanently at long-term follow-up. Rarely is concurrent surgery required. Ethanol sclerotherapy is a curative treatment in which recurrences do not occur and permanent ablations are the rule. Complications that occur are minor and rare.

Disclosures W. Yakes: None.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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