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Journal of Maxillofacial and Oral Surgery

, Volume 14, Issue 2, pp 332–338 | Cite as

The Use of Sodium Tetradecyl Sulphate for the Treatment of Venous Malformations of the Head and Neck

  • Xena Alakailly
  • Raja Kummoona
  • Faisal A. Quereshy
  • Dale A. BaurEmail author
  • Ariadne E. González
Clinical Paper

Abstract

Introduction

Vascular malformations have devastating cosmetic effects in addition to being associated with pain and bleeding. Sclerotherapy has been used as an effective therapeutic modality for the management of vascular malformations. The purpose of this case series is to describe our clinical experience of using sodium tetradecyl sulphate (STS) 3 % in the treatment of venous malformation lesions of head and neck.

Materials and Methods

Thirteen patients were included in this study (three male and ten female; age range between 8 months and 54 years; mean age 18.2 years, ±SD 15.71). The patients were treated by 3 % STS intralesional injections. Of the thirteen patients treated, complete resolution occurred in four patients (28.57 %), a good response occurred in five patients (35.7 %), a moderate response in two patients (14.28 %), a mild response in two patients (14.28 %) and no response in one patient (7.14 %). The side effects encountered in all patients were pain and edema after injection which was controlled by oral analgesics and an intramuscular injection of dexamethasone. In addition, two patients developed a superficial ulceration (11.76 %) which healed uneventfully, and one patient developed ecchymosis after injection (5.88 %).

Conclusion

Sclerotherapy with 3 % STS is a simple, safe, and effective modality for the treatment of venous malformations.

Keywords

Sotradecol STS Venous malformation (VnM) Vascular malformations (VM) Sclerotherapy Head and neck 

Notes

Acknowledgments

The authors would like to acknowledge Ariadne E. González BS for her expert assistance in the preparation of this manuscript.

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Copyright information

© Association of Oral and Maxillofacial Surgeons of India 2014

Authors and Affiliations

  • Xena Alakailly
    • 1
    • 2
    • 3
  • Raja Kummoona
    • 1
  • Faisal A. Quereshy
    • 2
  • Dale A. Baur
    • 2
    Email author
  • Ariadne E. González
    • 2
  1. 1.Maxillofacial Surgery, Iraqi Board for Medical SpecializationsMedical CityBaghdadIraq
  2. 2.Department of Oral and Maxillofacial Surgery, School of Dental MedicineUniversity Hospitals/Case Medical CenterClevelandUSA
  3. 3.Department of Oral and Maxillofacial Surgery, School of Dental MedicineCase Western Reserve UniversityClevelandUSA

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