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The Sclerotherapy-An Efficacious Approach in the Management of Vascular Lesions and Pyogenic Granuloma: Case Series with Literature Review

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Abstract

Sclerotherapy is a targeted elimination of small vessels, varicose veins, and vascular anomalies by the injection of a sclerosant. Sclerotherapy aims to damage the vessel wall and transform it into fibrous tissue. The present study was conducted to evaluate the efficacy of a sclerosing agent 3% polidocanol in the treatment of vascular lesions and pyogenic granuloma. The solution was injected intralesionally at multiple sites and was repeated after an interval of 2 weeks. The treatment effect was determined by clinical examination. Sclerotherapy with 3% polidocanol is effective in the treatment of vascular lesions and pyogenic granuloma. This treatment modality offers an alternative to conventional methods such as surgical excision, laser therapy, cryotherapy, steroid therapy, etc., in cases where conservative treatment is preferable. The advantage is that it causes minimal discomfort, negligible blood loss, less cumbersome, and above all is economical. There is no requirement of local anesthesia or postoperative dressings or any specific care. The patient can resume his daily activities immediately.

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References

  1. Khunger N, Sacchidanand S (2011) Standard guidelines for care: sclerotherapy in dermatology. Indian J Dermatol Venereol Leprol 77(2):222

    Article  Google Scholar 

  2. Agarwal S (2012) Treatment of oral hemangioma with 3% sodium tetradecyl sulfate: study of 20 cases. Indian J Otolaryngol Head Neck Surg 64(3):205–207

    Article  Google Scholar 

  3. Reddy GSP, Reddy GV, Reddy KSK, Priyadarshini BS, Sree PK (2016) Intralesional sclerotherapy-A novel approach for the treatment of intraoral haemangiomas. J Clin Diagn Res JCDR 10(1):ZD13

    PubMed  Google Scholar 

  4. Deore GD, Gurav AN, Patil R, Shete AR, NaikTari RS, Khiste SV, Inamdar S (2014) Sclerotherapy: a novel bloodless approach to treat recurrent oral pyogenic granuloma associated with port-wine stain. Ann Vasc Surg 28(6):1564-e9

    Article  Google Scholar 

  5. Lee BB, Laredo J, Lee TS, Huh S, Neville R (2007) Terminology and classification of congenital vascular malformations. Phlebology 22(6):249–252

    Article  CAS  Google Scholar 

  6. Sitra G, Kayalvizhi EB, Sivasankari T, Vishwanath R (2014) A new venture with sclerotherapy in an oral vascular lesion. J Basic Clin Pharm 6(1):40

    Article  CAS  Google Scholar 

  7. Guerry C, Butterworth JF (2018) A 25-year retrospective analysis of the American Society of Anesthesiologists physical status classification: did we “up-code” young obese patients when obesity was not yet considered a disease? Can J Anesth/J Can D’anesth 65(7):776–785

    Article  Google Scholar 

  8. Spence J, Krings T, Da Costa LB, Agid R (2010) Percutaneous sclerotherapy for facial venous malformations: subjective clinical and objective MR imaging follow-up results. Am J Neuroradiol 31(5):955–960

    Article  CAS  Google Scholar 

  9. Lungren MP, Patel MN (2014) Endovascular management of head and neck vascular malformations. Curr Otorhinolaryngol Rep 2(4):273–284

    Article  Google Scholar 

  10. Srivathsa SH (2016) Sclerotherapy for hemangioma of the labial mucosa. Indian J Paediatr Dermatol 17(1):53

    Article  Google Scholar 

  11. Mishra M, Singh G, Gaur A, Tandon S, Singh A (2017) Role of sclerotherapy in management of vascular malformation in the maxillofacial region: our experience. Natl J Maxillofac Surg 8(1):64

    Article  Google Scholar 

  12. Blaise S, Charavin-Cocuzza M, Riom H, Brix M, Seinturier C, Diamand JM, Carpentier PH (2011) Treatment of low-flow vascular malformations by ultrasound-guided sclerotherapy with polidocanol foam: 24 cases and literature review. Eur J Vasc Endovasc Surg 41(3):412–417

    Article  CAS  Google Scholar 

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Correspondence to Sheetal Sharma.

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All procedures performed in studies involving human population were in accordance with the ethical standards of the institution. Approval from the Institutional Ethical Committee, GDC Ahmadabad was obtained for the study.

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Sharma, S., Shah, J.S., Asrani, V.K. et al. The Sclerotherapy-An Efficacious Approach in the Management of Vascular Lesions and Pyogenic Granuloma: Case Series with Literature Review. Indian J Otolaryngol Head Neck Surg 73, 167–173 (2021). https://doi.org/10.1007/s12070-020-01960-4

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  • DOI: https://doi.org/10.1007/s12070-020-01960-4

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