Resection of an oropharyngeal venous malformation

Venous malformations (VMs) are congenital vascular lesions caused by enlarged and ectatic venous channels. Current methods of treatment for VMs involve a combination of sclerotherapy, laser therapy, and surgical resection. While sclerotherapy remains the most commonly used treatment for small VMs, s...

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Bibliographic Details
Published in:American journal of otolaryngology 2023-03, Vol.44 (2), p.103784-103784, Article 103784
Main Authors: Martin, Elaine C., Vu, Wesley N., Kuan, Edward C., Haidar, Yarah M.
Format: Article
Language:English
Subjects:
Endoscopic surgery
Humans
Laser Therapy
Oropharynx
Sclerosing Solutions
Sclerotherapy - methods
Transoral surgery
Treatment Outcome
Vascular malformation
Vascular Malformations - diagnostic imaging
Vascular Malformations - surgery
Venous malformation
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Summary:Venous malformations (VMs) are congenital vascular lesions caused by enlarged and ectatic venous channels. Current methods of treatment for VMs involve a combination of sclerotherapy, laser therapy, and surgical resection. While sclerotherapy remains the most commonly used treatment for small VMs, surgery remains an important tool for isolated VMs or larger VMs with higher flow due to potential local and systemic side effects associated with the use of certain sclerosing agents. Here we present a case of a patient with a naso- and oropharyngeal venous malformation which was successfully resected with endoscopic-assisted transoral surgery. This is a low-fingerprint technique to tumors of the oropharynx with excellent visualization and maneuverability in cases where TORS is not an option. This technique does not require palate splitting or excessive retraction, allows multiple surgeons to work simultaneously, and is associated with significantly lower morbidity than transcervical techniques. N/A.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2022.103784