Role of Foam Sclerotherapy with Injection Ethanolamine Oleate for the Treatment of Venous Malformation in Head-Neck Region

Authors

  • Mohammad Habibur Rahman Consultant, Dept. of Otolaryngology-Head & Neck Surgery, BSMMU, Dhaka, Bangladesh
  • Abirvab Naha ENT-Specialist, Sheikh Fazilatunnessa Mujib Memorial KPJ Specialized Hospital & Nursing College, Gazipur, Dhaka, Bangladesh
  • Riashat Azim Majumder Medical Officer, Dept. of Otolaryngology-Head & Neck Surgery, Mugda General Hospital, Dhaka, Bangladesh
  • Md Khalid Mahmud Resident Surgeon, ENT-Oncology, National Institute of Cancer Research & Hospital, Dhaka, Bangladesh
  • Arif Mahmud Jewel Medical Officer, Dept. of Otolaryngology-Head & Neck Surgery, BSMMU, Dhaka, Bangladesh
  • Kamrul Hassan Tarafder Professor & Ex-Chairman, Dept. of Otolaryngo-logy-Head & Neck Surgery, BSMMU, Dhaka, Bangladesh
  • A Allam Chowdhury Professor, Dept. of Otolaryngology-Head & Neck Surgery, BSMMU, Dhaka, Bangladesh
  • Sheikh Hasanur Rahman Professor, Dept. of Otolaryngology-Head & Neck Surgery, BSMMU, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bjo.v26i2.50606

Keywords:

Sclerotherapy, Malformation, Head-Neck Region

Abstract

Background: Venous malformations (VMs) are a variety of low flow vascular malformations, which are developmental error of morphogenesis of veins where veins are dysplastic lined by quiescent or normal endothelium. Although surgical extirpation is the standard method for the treatment of vascular malformations, this procedure often leads to significant loss of motor function, nerve damage, or massive bleeding in patients which may endanger the life. Therefore, sclerotherapy has now been accepted as a less invasive alternative and good results have been obtained.

Objectives: This study was conducted to evaluate the clinical outcomes after Foam sclerotherapy with injection Ethanolamine Oleate (EO) for the treatment of VMs in head-neck region.

Methods: This quasi-experimental study was conducted in the Department of Otolaryngology- Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU). Forty-three patients with venous malformation in head neck region that had the inclusion criteria were enrolled as a study sample. The patients were diagnosed mostly clinically & confirmed by demonstrating non-pulsatile blood flow and venous space using Duplex ultrasound. The sclerosing solution 5% Ethanolamine Oleate (EO) was used in this study. Sclerofoam was produced using the Tessari method in 4:1 air to liquid ratio, the foam had been used within 60- 90 seconds. Results of the study were categorized as excellent, good, fair and poor. Ethical clearance was obtained from the Institutional Review Board (IRB) of BSMMU.

Results: Among 43 patients 34(79.1%) patients underwent single session and 9(20.9%) were two sessions. All the lesions were responded to EO. Response to sclerotherapy categorized as excellent were in two third 29 (67.4%) patients and 14 (32.6%) had good response. No sessions resulted in poor responses. No complications occurred following any procedures. All of the sessions were performed as a day case basis without anesthesia.

Conclusions: Foam sclerotherapy with injection EO appears to be safe and effective for the treatment of VMs in the head and neck region and should be considered when treating these complex lesions.

Bangladesh J Otorhinolaryngol; October 2020; 26(2): 79-85

Downloads

Download data is not yet available.
Abstract
3
PDF
3

Downloads

Published

2020-12-09

How to Cite

Rahman, M. H., Naha, A., Majumder, R. A., Mahmud, M. K., Jewel, A. M., Tarafder, K. H., Chowdhury, A. A., & Rahman, S. H. (2020). Role of Foam Sclerotherapy with Injection Ethanolamine Oleate for the Treatment of Venous Malformation in Head-Neck Region. Bangladesh Journal of Otorhinolaryngology, 26(2), 79–85. https://doi.org/10.3329/bjo.v26i2.50606

Issue

Vol. 26 No. 2 (2020)

Section

Original Articles

License

Manuscripts submitted for publication in the Bangladesh Journal of Otorhinolaryngology must not have been previously submitted or published. Accepted papers become the permanent property of the Bangladesh Journal of Otorhinolaryngology. By submitting a manuscript, the authors(s) agree that copyrights for their articles are automatically transferred to Bangladesh Journal of Otorhinolaryngology, if and when the articles are accepted for publication.

The use, in this journal, of registered trade names, trade marks, etc. without special acknowledgement does not imply that such names, as defined by the relevant protection laws, be regarded as unprotected, and, thus, free for general use.

Authors who publish with this journal agree to the following terms:

 

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).