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01 September 2007

Use of sclerosing agent in the management of oral and perioral hemangiomas: Review and case reports

Heba Selim, Abdulhafez Selim, Amor Khachemoune, Salah Abdel Fattah A Metwally

Med Sci Monit 2007; 13(9): CS114-119 :: ID: 498414

Abstract

Background: Most cutaneous hemangiomas involute spontaneously. However, the lesion existing on the face poses a cosmetic problem while waiting for involution.
Case Reports: Three hemangioma cases were treated by repeated local injection of 5% ethanolamine oleate solution. The lesions flattened and markedly reduced in size as shown by clinical and imaging evaluation.
Conclusions: Use of 5% ethanolamine oleat as a sclerosing agent for repeated intralesional injection in the management of facial hemangiomas is a safe treatment with acceptable results. As presented here, this technique offers the patient considerable relief of symptoms with minimal complications. However, the possibility of second-stage surgery to correct residual deformity is still considered. Sclerotherapy with ethanolamine oleate provides a good preparation for further surgery.

Keywords: Adolescent, Hemangioma - pathology, Mouth Neoplasms - pathology, Sclerosing Solutions - therapeutic use, Sclerotherapy, Tomography Scanners, X-Ray Computed, Tumor Markers, Biological - metabolism

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750