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Journal of Maxillofacial and Oral Surgery

, Volume 11, Issue 1, pp 13–20 | Cite as

Comparative Analysis of Intralesional Sclerotherapy with Sodium Tetradecyl Sulfate Versus Bleomycin in the Management of Low Flow Craniofacial Soft Tissue Vascular Lesions

  • Hemant BajpaiEmail author
  • Sarika Bajpai
Comparative Study

Abstract

Objective

Comparison of the efficacy of bleomycin over sodium tetradecyl sulfate (STS) when given intralesionally in the treatment of oral and maxillofacial venous malformation.

Methods

16 patients with venous malformation in craniofacial region were randomly divided into two groups of eight. Group 1 was given intralesional injection of bleomycin and group 2 was injected with STS. All the cases were evaluated for a minimum period of two and a maximum of 3 years.

Results

Efficacy of bleomycin was found to be superior to STS, when used as intralesional sclerotherapic agent. Most of the vascular lesions of group 1 resolved after first dose giving a cure rate of 87.5% and no recurrence was observed. Group 2 patients however, required 4–6, a mean of five repeated dosage of intralesional STS before their lesions started to resolve and three patients reported with recurrence within 2 years, giving an overall effective response rate of 62.5%.

Conclusion

Bleomycin under selected conditions appears to be an excellent therapy for treating soft tissue vascular lesions of low flow nature in craniofacial region. Predictable results were obtained with a high success rate. No systemic or pulmonary complications occurred.

Keywords

Vascular Venous malformation Maxillofacial 

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Copyright information

© Association of Oral and Maxillofacial Surgeons of India 2011

Authors and Affiliations

  1. 1.Department of Oral & MaxilloFacial SurgeryMaharanapratap Dental College & HospitalKanpurIndia
  2. 2.Aanya Dental & Craniofacial HospitalKanpurIndia

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