Angiographic classification and sclerotic therapy of maxillofacial cavernous haemangiomas: a report of 204 cases

The Journal of International Medical Research
Xue-jian LiuM-Z Tai

Abstract

A total of 204 patients with maxillofacial cavernous haemangiomas were examined by digital subtraction angiography to investigate the factors affecting therapeutic outcome and to optimize treatment selection. Cavernous haemangiomas were classified as high- or low-drainage based on the nature of the draining veins. Patients were randomized to receive either embolization of the draining veins with absolute ethanol followed by bleomycin A5 hydrochloride intra-tumoural injection, or intra-tumoural injection only. In patients with high-drainage haemangiomas (n = 140), there were significant improvements in the complete cure rate and the overall effective rate in those who had received embolization prior to intra-tumoural injection compared with those who had received intra-tumoural injection only. In patients with low-drainage haemangiomas (n = 64), there were no significant differences between the two treatment groups. It is concluded that embolotherapy of draining veins prior to hydrochloride injection is effective for treating high-drainage cavernous haemangiomas whereas bleomycin A5 hydrochloride injection alone is suitable for treating low-drainage cavernous haemangiomas.

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Citations

Oct 26, 2013·Neuroimaging Clinics of North America·Joseph J GemmeteNeeraj Chaudhary
Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Eric R CarlsonKathleen E Herb-Brower
Jul 28, 2016·Pediatric Radiology·Deanna MenapaceMarcia Hogeling
Apr 19, 2018·The Cochrane Database of Systematic Reviews·Monica NovoaIngrid Arevalo-Rodriguez
May 13, 2011·The Cochrane Database of Systematic Reviews·Jo Leonardi-BeeFiona J Bath-Hextall
Jan 8, 2014·Experimental and Therapeutic Medicine·Yideng HuangLongjun Wu
Sep 22, 2020·Ci Ji Yi Xue Za Zhi = Tzu-chi Medical Journal·Jin-You JhanBee-Song Chang

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Cavernous hemangioma is a blood vessel defect or benign tumor that leads to leakage of blood to the surrounding tissues. This can occur in several organs including the brain, which can lead to seizures. Discover the latest research on cavernous hemangiomas here.