Guntau, Moritz and Cucuruz, Beatrix and Brill, Richard and Bidakov, Oleksandr and Von Der Heydt, Susanne and Deistung, Andreas and Wohlgemuth, Walter A. (2023) Individualized treatment of congenital vascular malformations of the tongue. CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 83 (4). pp. 421-429. ISSN 1386-0291, 1875-8622
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BACKGROUND/OBJECTIVE:Oral malformations of the tongue are exceedingly rare. The aim of this study was to evaluate the effectiveness of individualized treatment for patients with vascular malformations of the tongue. METHODS: This retrospective study is based on a consecutive local registry at a tertiary care Interdisciplinary Center for Vascular Anomalies. Patients with vascular malformations of the tongue were included. Indications for therapy of the vascular malformation were macroglossia with the impossibility to close the mouth, bleeding, recurrent infection and dysphagia. Size regression of the malformation (volume measurement) and symptom improvement were investigated. RESULTS: Out of 971 consecutive patients with vascular malformations, 16 patients suffered from a vascular malformation of the tongue. Twelve patients had slow-flow malformations and 4 fast-flow malformations. Indications for interventions were bleeding (4/16, 25%), macroglossia (6/16, 37.5%), and recurrent infections (4/16, 25%). For two patients (2/16, 12.5%), there was no indication for intervention due to absence of symptoms. Four patients received sclerotherapy, 7 patients Bleomycin-electrosclerotherapy (BEST) and 3 patients embolization. Median follow-up was 16 months (IQR 7-35.5). In all patients, symptoms had decreased after two interventions at a median (IQR 1-3.75). Volume reduction of the malformation of the tongue was 13.3% (from median 27.9 cm(3) to median 24.2 cm(3), p = 0.0039), and even more pronounced when considering only patients with BEST (from 86 cm(3) to 59.1 cm(3), p = 0.001). CONCLUSION: Symptoms of vascular malformations of the tongue are improved after a median of two interventions with significantly increased volume reduction after Bleomycin-electrosclerotherapy.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CLASSIFICATION; DIAGNOSIS; ANOMALIES; CHILDREN; Congenital vascular malformation of the tongue; slow-flow malformation; fast-flow malformation; Bleomycin-electrosclerotherapy; sclerotherapy; embolization |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Gefäßchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 13 Mar 2024 09:57 |
| Last Modified: | 13 Mar 2024 10:02 |
| URI: | https://pred.uni-regensburg.de/id/eprint/59898 |
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