Sclerotherapy of Benign Oral Vascular Lesions with Non-Diluted Ethanolamine Oleate

  1. P. D Portella
  2. L. B Bedra
  3. N. N Perdoncini
  4. J. M Amenábar
  5. C. C Torres-Pereira
Revista:
International Journal of Odontostomatology

ISSN: 0718-381X 0718-3801

Año de publicación: 2020

Volumen: 14

Número: 3

Páginas: 373-379

Tipo: Artículo

DOI: 10.4067/S0718-381X2020000300373 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: International Journal of Odontostomatology

Resumen

ABSTRACT: Benign oral vascular lesions are anomalies characterized by the blood vessels proliferation or malformation and the treatment with the sclerosing agent ethanolamine oleate acts irrigating the vessel producing a sterile inflammatory response. The objective of this study was to report and discuss the results from treatment of benign oral vascular lesions with non-diluted ethanolamine oleate through the analysis of clinical records. The sample was composed by the selection of twenty-six patients (12 male and 14 female), with oral vascular malformations. All lesions were treated with intralesional injections of undiluted ethanolamine oleate. These patients attended in Oral Medicine outpatient clinic of the Federal University of Paraná between the years of 2011 to 2015. The average age was 60.65 years, with a higher prevalence for women. The majority of the individuals had one lesion and its location was mostly in the lower lip. The main complaint was about a physical discomfort. The lesions had the average size of 6.52 mm and received a median number of 2.32 applications. Only one patient reported feeling pain in the postoperative week. In most cases the resolution of the lesion was considered partial. Follow-up was obtained up to one month after the end of treatment. The sclerotherapy with undiluted ethanolamine oleate shows acceptable results in the treatment of small benign oral vascular lesions with a few minor side effects.

Referencias bibliográficas

  • Cardoso, C. L.,Fernandes, L. M. P. S. R.,Rocha, J. F.,Gonçales, E. S.,Ferreira Júnior, O.,Taveira, L. A. S.. (2010). Abordagem cirúrgica de hemangioma intraoral. Odontol. Clin. Cient.. 9. 177
  • Corrêa, P. H.,Nunes, L. C.,Johann, A. C.,Aguiar, M. C.,Gomez, R. S.,Mesquita, R. A.. (2007). Prevalence of oral hemangioma, vascular malformation and varix in a Brazilian population. Braz. Oral Res.. 21. 40
  • Costa Filho, J. Z.,dos Santos, C. A. I. S.,Costa, M. C.,Costa, P. J. C.,Nobre, S. M. W.. (2011). Oleato de etanolamina 5 % como opção ao tratamento cirúrgico dos hemangiomas orais: relato de caso. Rev. Cir. Traumatol. Buco-Maxilo-Fac.. 11. 31
  • Costa, J. R.,Torriani, M. A.,Hosni, E. S.,D'Avila, O. P.,de Figueiredo, P. J.. (2011). Sclerotherapy for vascular malformations in the oral and maxillofacial region: treatment and follow-up of 66 lesions. J. Oral Maxillofac. Surg.. 69. 88-92
  • Cruz, F. L. G.,de Carvalho, R. F.,de Carvalho, M. F.,Sales, L. A. R.,Devito, K. L.. (2011). Diagnóstico diferencial de hemangioma por meio da vitropressão. R. G. O. Rev. Gauch. Odontol.. 59. 125
  • da Silva, W. B.,Ribeiro, A. L.,de Menezes, S. A.,de Jesus Viana Pinheiro, J.,de Melo Alves-Junior, S.. (2014). Oral capillary hemangioma: a clinical protocol of diagnosis and treatment in adults. Oral Maxillofac. Surg.. 18. 431
  • Eivazi, B.,Ardelean, M.,Bäumler, W.,Berlien, H. P.,Cremer, H.,Elluru, R.,Koltai, P.,Olofsson, J.,Richter, G.,Schick, B.. (2009). Update on hemangiomas and vascular malformations of the head and neck. Eur. Arch. Otorhinolaryngol.. 266. 187
  • Gheno, J. N.,Martins, M. A.,Munerato, M. C.,Hugo, F. N.,Sant'ana Filho, M.,Weissheimer, C.,Carrard, V. C.,Martins, M. D.. (2015). Oral mucosal lesions and their association with sociodemographic, behavioral, and health status factors. Braz. Oral Res.. 29. 1-6
  • Gomes, C. C.,Gomez, R. S.,do Carmo, M. A.,Castro, W. H.,GalaGarcía, A.,Mesquita, R. A.. (2006). Mucosal varicosities: case report treated with monoethanolamine oleate. Med. Oral Patol. Oral Cir. Bucal. 11. 44
  • Gómez Oliveira, G.,García-Rozado, A.,Luaces Rey, R.. (2008). Intraosseous mandibular hemangioma. A case report and review of the literature. Med. Oral Patol. Oral Cir. Bucal. 13. 496
  • Hoque, S.,Das, B. K.. (2011). Treatment of venous malformations with ethanolamine oleate: a descriptive study of 83 cases. Pediatr. Surg. Int.. 27. 527
  • Hyodoh, H.,Hori, M.,Akiba, H.,Tamakawa, M.,Hyodoh, K.,Hareyama, M.. (2005). Peripheral vascular malformations: imaging, treatment approaches, and therapeutic issues. Radiographics. 25. 159
  • Jaeger, F.,López Alvarenga, R.,Fernandes Galizes, B.,Girardi, G. P.,López Alvarenga, G.,Leal, R. M.. (2013). Escleroterapia com oleato de etanolamina a 5 % em hemangioma oral: relato de caso clínico. Rev. Port. Estomatol. Med. Dent. Cir. Maxilofac.. 54. 914
  • Johann, A. C.,Aguiar, M. C.,do Carmo, M. A.,Gomez, R. S.,Castro, W. H.,Mesquita, R. A.. (2005). Sclerotherapy of benign oral vascular lesion with ethanolamine oleate: an open clinical trial with 30 lesions. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.. 100. 579
  • Pedron, I. G.,Carnaval, T. G.,Loureiro, C. C. S.,Utumi, E. R.,Magalhães, J. C. A.,Adde, C. A.. (2008). Opção terapêutica de hemangioma labial. Rev. Inst. Cienc. Saúde. 26. 477
  • Sarmiento, M. E.,Espinosa, I. V.,Quiñones, L. T.,Arias, A. B.. (2008). Tratamiento quirúrgico de los hemangiomas faciales en niños. Rev. Esp. Cir. Oral Maxilofac.. 30. 274
  • Zanettini, I.,Zanettini, R. M.,Gollo, G.. (2005). Sclerotherapy as an alternative treatment for oral vascular pathologies. Clin. Pesq. Odontol.. 2. 119