Sclerotherapy for Venous Malformations of the Pharynx or the Tongue Base Without Tracheostomy: Treatment Protocol With Intubation and Outcomes

The Journal of Craniofacial Surgery
Yuki IwashinaKiyonori Harii

Abstract

Venous malformations (VMs) occurring in the tongue base or pharynx are rare, but can cause airway obstruction. Considering the potential issues or morbidity related to surgical resection in the tongue or pharynx region, sclerotherapy is often preferred. We perform sclerotherapy for such lesions without conducting tracheotomy, but keep patients intubated for a certain period. Outcomes of sclerotherapy, and benefits and cautions related with our protocol were investigated.Our subjects were 10 cases in 9 patients who underwent sclerotherapy for VMs of the tongue base (6 patients) or pharynx (3 patients) from 2008 to 2017. One patient underwent treatment sessions twice. The sclerosants used were absolute ethanol (ET) (3 cases), 5% ethanolamine oleate (EO) (4 cases), or both ET and 5%EO (3 cases).In 5 of 9 patients, postoperative MRI was performed, which revealed lesion volume reduction by 12% to 47%. The intubation period varied according to the sclerosant used: ET, 5 to 11 days; 5% EO, 2 to 12 days; and combination of ET and 5% EO, 8 days. Postoperative complications included fever of unknown (n = 2), acute psychosis (n = 3), vocal cord paralysis (n = 2), and bradycardia induced from the use of a sedative agent (n = 1). One patien...Continue Reading

References

Oct 11, 2003·Clinics in Chest Medicine·Richard D Sue, Irawan Susanto
Nov 19, 2003·Japanese Journal of Clinical Oncology·Joon Oh ParkKeunchil Park
Sep 11, 2004·Critical Care Nursing Clinics of North America·Mary Jo Grap, Cindy L Munro
Mar 7, 2006·Postgraduate Medical Journal·J D Hunter
Jun 26, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Paul De LeynUNKNOWN Belgian Association of Pneumology and Belgian Association of Cardiothoracic Surgery
May 15, 2010·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Mine OzakiKiyonori Harii
Nov 26, 2010·Clinics in Plastic Surgery·Arin K Greene, Ahmad I Alomari
Apr 5, 2013·The Laryngoscope·Atsushi KamijoKeisuke Masuyama
May 31, 2013·The Annals of Pharmacotherapy·Yoonsun Mo, Anthony E Zimmermann
Jun 14, 2013·Vascular and Endovascular Surgery·Yajing QiuGang Ma
May 16, 2014·Current Opinion in Anaesthesiology·Gerald L Weinhouse
Apr 1, 2012·International Archives of Otorhinolaryngology·Luiz Alberto Alves MotaValeska Almeida Brito
Jan 3, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Sophie E R HorbachChantal M A M van der Horst
Sep 29, 2017·Seminars in Interventional Radiology·Sumera Ali, Sally E Mitchell

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Related Papers

AJNR. American Journal of Neuroradiology
Philip L JohnsonTerrence T Tsue
Pediatrics International : Official Journal of the Japan Pediatric Society
Kengo NakahataHiroomi Okuyama
American Family Physician
R F Leedy
Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
L Mantse
© 2021 Meta ULC. All rights reserved