Tmj. Siniluoto et al., PERCUTANEOUS SCLEROTHERAPY OF VENOUS MALFORMATIONS OF THE HEAD AND NECK USING SODIUM TETRADECYL SULFATE (SOTRADECOL), Scandinavian journal of plastic and reconstructive surgery and hand surgery, 31(2), 1997, pp. 145-150
Thirty-eight patients with venous malformations of the face, neck, and
tongue underwent percutaneous sclerotherapy with direct puncture and
instillation of sodium tetradecyl sulphate (Sotradecol) (33-67% soluti
on, mixed with contrast material) into the lesions. Each patient under
went from one to seven treatment sessions (mean 2.2), followed by reco
nstructive surgery in three cases. Of the 34 patients who responded to
the follow-up questionnaire, the late results were excellent or good
in 23 patients (68%), moderate in eight, unchanged in three, and were
worse in one. Compared with our previous experience of embolisation of
such malformations with ethanol, the results with Sotradecol were sli
ghtly worse. There was one serious complication, unilateral loss of vi
sion in a patient with a large malformation that extended to the orbit
. In conclusion, percutaneous sclerotherapy with Sotradecol is effecti
ve treatment for venous malformations of the head and neck. Careful pl
anning is essential to reduce the risks of the treatment.