Management of mandibular vascular malformation with sclerotherapy. Report of two cases

Background: Management of vascular anomalies is extremely challenging and varies according to the nature of the lesion. Traditionally, embolization with the resection of the lesion and autologous immediate reconstruction has been used. The purpose of this report is to present cases successfully using sclerosing solution injections alone. Methods: This paper describes the management of two cases of the mandibular vascular malformations using trans-osseous injection of the sodium tetradecyl sulfate to the periphery of the lesion. The procedure was performed four or five times at two weeks intervals respectively. Imaging was performed using subtraction arteriography and sequential panoramic dental radiographs. Results: Radiological and histological evaluation of the cases showed resolution of the lesions following sclerotherapy alone. Conclusions: Conservative interventional management using trans-osseous injection of sclerosing solution was successful in treating mandibular vascular anomalies. © 2006 Mosby, Inc. All rights reserved.