Surgical Management of Slow-flow Venous Malformation of External Jugular Vein

Abstract

Introduction

Cervicofacial venous malformation (VMs) arising from the external jugular vein (EJV) are very rare. These distinct clinical entities may be easily and optimally treated with surgical excision without any resultant morbidity.

Report

Three adult patients underwent excision of the malformation after unsuccessful sclerotherapy. Lesions were excised after ligating multiple large feeders between the EJV and the malformation.

Discussion

Sclerotherapy failed due to small contact time of the sclerosant with the endothelium. Surgical excision of these lesions is simple and straightforward, and should be considered as the first line of treatment whenever this clinical entity is recognised.