The clinical effect of sclerotherapy in the treatment of venous malformations of the head and neck in children

Objective:To summarize the treatment experiences of sclerotherapy in venous malformations of head and neck in children.Methods:The clinical data of 72 cases of venous malformation of head and neck in children were retrospectively analyzed.Multiple sclerosis agents and fractionized sclerotherapy were combined according to the size of the lesion.Small single venous malformations were given only ethanol treatment,while large or multiple venous malformations were given combined application with lauromacrogol treatment.Results:From 72 patients who received 2~6times of treatment,42 cases were cured,in 21 cases the treatment was markedly effective,and in 9cases the treatment was effective.72 cases were followed up for 3months to 2years(mean 8months),no recurrence of venous malformation was observed.Adverse reactions:2cases had skin ulceration or necrosis,4cases had superficial skin ulceration(no scar after healing)and 3patients had temporary peripheral nerve paralysis.Conclusion:The advantages of percutaneous sclerotherapy in the treatment for venous malformation of head and neck in children are its safety and efficacy.Combining multiple sclerosis agent and fractionized sclerotherapy is helpful in reducing complications and improving the outcome.