Aim: this case report evaluates the safety and efficacy of Ble- omycin Electrosclerotherapy (BES) for treating a vascular mal- formation at the apex of the tongue, a rare location that signif- icantly impacts oral function. Methods: a 70-year-old female patient with a vascular mal- formation at the apex of the tongue underwent BES under general anesthesia at the Maxillofacial Surgery and Odonto- stomatology Clinic, Maggiore Hospital, Trieste, Italy, in Feb- ruary 2025. A 1 cm finger electrode delivered two impulses with settings of 8 trains, 400 V, 100 μs, and 5000 Hz. A minor bleeding episode was controlled with compressive gauze soaked in tranexamic acid and sutured with 4-0 Vicryl. The follow-up was conducted at 24 hours, 7 days, and 1 month, with monitoring for up to one year to assess long-term out- comes and potential recurrence. Results: the procedure led to a significant reduction in the size of the malformation, with no major complications. The patient reported marked improvement in speech and swallowing at one month. Post- operative pain was minimal, and there were no signs of recurrence. Bleeding was well-controlled, and no other complications occurred. Conclusions: BES is a safe and effective treatment for vascular malformations of the tongue, offering a minimally invasive alter- native to surgery. This case demonstrated excellent clinical out- comes, and long-term follow-up is essential to evaluate sustained efficacy and monitor potential complications. Further studies are needed to confirm its long-term safety and effectiveness.
BLEOMYCIN ELECTROSCLEROTHERAPY TREATMENT IN THE MANAGEMENT OF VASCULAR MALFORMATION IN THE APEX OF THE TONGUE: A CASE REPORT
Pedroso Acosta G;Bevilacqua L;Maglione M
2025-01-01
Abstract
Aim: this case report evaluates the safety and efficacy of Ble- omycin Electrosclerotherapy (BES) for treating a vascular mal- formation at the apex of the tongue, a rare location that signif- icantly impacts oral function. Methods: a 70-year-old female patient with a vascular mal- formation at the apex of the tongue underwent BES under general anesthesia at the Maxillofacial Surgery and Odonto- stomatology Clinic, Maggiore Hospital, Trieste, Italy, in Feb- ruary 2025. A 1 cm finger electrode delivered two impulses with settings of 8 trains, 400 V, 100 μs, and 5000 Hz. A minor bleeding episode was controlled with compressive gauze soaked in tranexamic acid and sutured with 4-0 Vicryl. The follow-up was conducted at 24 hours, 7 days, and 1 month, with monitoring for up to one year to assess long-term out- comes and potential recurrence. Results: the procedure led to a significant reduction in the size of the malformation, with no major complications. The patient reported marked improvement in speech and swallowing at one month. Post- operative pain was minimal, and there were no signs of recurrence. Bleeding was well-controlled, and no other complications occurred. Conclusions: BES is a safe and effective treatment for vascular malformations of the tongue, offering a minimally invasive alter- native to surgery. This case demonstrated excellent clinical out- comes, and long-term follow-up is essential to evaluate sustained efficacy and monitor potential complications. Further studies are needed to confirm its long-term safety and effectiveness.Pubblicazioni consigliate
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