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European Archives of Oto-Rhino-Laryngology

Erschienen in:

01.04.2016 | Head and Neck

Complications of sclerotherapy for 75 head and neck venous malformations

verfasst von: Eeva Castrén, Johanna Aronniemi, Tuomas Klockars, Johanna Pekkola, Kimmo Lappalainen, Pia Vuola, Päivi Salminen, Anne Pitkäranta

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 4/2016

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Abstract

Sclerotherapy is one treatment option for head and neck venous malformations (VMs). Evaluation of complication risks is, however, essential to improve its safety. We aimed to systematically report sclerotherapy complications by means of the Clavien-Dindo classification and to distinguish factors predisposing to complications. We identified our institution’s head and neck VM patients who received sclerotherapy between 1 January 2007 and 31 August 2013, analyzed patient reports retrospectively, and applied to them the Clavien-Dindo classification. Our 75 VM patients underwent a total of 150 sclerotherapy sessions. The most common sclerosants were 3 % sodium tetradecyl sulfate and polidocanol. Complications occurred in 13 patients (17.3 %) and in 15 sessions (10.0 %); 3 complications required extensive postprocedural treatment and caused permanent morbidity, whereas 12 received conservative treatment. Patients with sclerotherapy complications underwent more treatments (p = 0.009) and more often needed further surgery (p = 0.007). We thus consider sclerotherapy a relatively safe treatment modality for head and neck VMs. To avoid complications, evaluation of VM characteristics and optimal treatment technique in a multidisciplinary team is vital.

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Titel: Complications of sclerotherapy for 75 head and neck venous malformations
verfasst von: Eeva Castrén
Johanna Aronniemi
Tuomas Klockars
Johanna Pekkola
Kimmo Lappalainen
Pia Vuola
Päivi Salminen
Anne Pitkäranta
Publikationsdatum: 01.04.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 4/2016
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-015-3577-x

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Complications of sclerotherapy for 75 head and neck venous malformations

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