Efficacy of Single Session Sclerotherapy with Undiluted Polydocanol,in Complete Elimination of Cutaneous as Well as Mucosal VenousMalformations of the Maxillofacial Region

Abstract

Haemangiomas and Vascular malformations of the maxillofacial region are alarming lesions which cause considerable cosmetic deformity and psychological problems. Their surgical excision is difficult and fraught with complications like intraoperative blood loss, incomplete excision, disfigurement and recurrence. Sclerotherapy is the percutaneous or permucosal intralesional endovascular instillation of an irritant agent/sclerosant, which helps to reduce their size and make them more amenable to surgical excision later. This case series demonstrates the efficacy and safety of a single session Sclerotherapy with undiluted Polydocanol in the management of medium sized vascular malformations involving the maxillofacial regions (lip, nose and buccal mucosa), which completely resolved within four weeks of the intralesional injection, without any need for surgical excision. The gratifying results achieved, support the fact that single session sclerotherpy with Polydocanol may be considered as the primary modality in the treatment of these challenging lesions.