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Article

Fluoroscopy- and Endoscopy-Guided Transoral Sclerotherapy Using Foamed Polidocanol for Oropharyngolaryngeal Venous Malformations in a Hybrid Operation Room: A Case Series

by
Kosuke Ishikawa
1,2,*,
Taku Maeda
1,
Emi Funayama
1,
Naoki Murao
2,
Takahiro Miura
1,
Yuki Sasaki
1,2,
Dongkyung Seo
1,2,
Shintaro Mitamura
1,2,
Shunichi Oide
1,2,
Yuhei Yamamoto
1 and
Satoru Sasaki
2,*
1
Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo 060-8638, Japan
2
Center for Vascular Anomalies, Department of Plastic and Reconstructive Surgery, Tonan Hospital, Sapporo 060-0004, Japan
*
Authors to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(8), 2369; https://doi.org/10.3390/jcm13082369
Submission received: 19 February 2024 / Revised: 16 April 2024 / Accepted: 16 April 2024 / Published: 18 April 2024
(This article belongs to the Special Issue State of the Art in Invasive Vascular Interventions)
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Abstract

Background: Treatment of oropharyngolaryngeal venous malformations (VMs) remains challenging. This study evaluated the effectiveness and safety of fluoroscopy- and endoscopy-guided transoral sclerotherapy for oropharyngolaryngeal VMs in a hybrid operation room (OR). Methods: Patients with oropharyngolaryngeal VMs who underwent transoral sclerotherapy in a hybrid OR were enrolled. Results: Fourteen patients (six females, eight males; median age of 26 years; range, 4–71 years) were analyzed. The symptoms observed were breathing difficulties (n = 3), snoring (n = 2), sleep apnea (n = 1), and swallowing difficulties (n = 1). Lesions were extensive in the face and neck (n = 9) and limited in the oropharyngolarynx (n = 5). A permanent tracheostomy was performed on two patients, while a temporary tracheostomy was performed on five patients. The treated regions were the soft palate (n = 8), pharynx (n = 7), base of the tongue (n = 4), and epiglottis (n = 1). The median number of sclerotherapy sessions was 2.5 (range, 1–9). The median follow-up duration was 81 months (range, 6–141). Treatment outcomes were graded as excellent (n = 2), good (n = 7), or fair (n = 5). The post-treatment complication was bleeding (n = 1), resulting in an urgent tracheostomy. Conclusions: Fluoroscopy- and endoscopy-guided transoral sclerotherapy in a hybrid OR can be effective and safe for oropharyngolaryngeal VMs.
Keywords: endoscopy; endovascular procedures; fluoroscopy; hemangioma; cavernous; larynx; mouth; pharynx; sclerotherapy; vascular malformations; venous malformations endoscopy; endovascular procedures; fluoroscopy; hemangioma; cavernous; larynx; mouth; pharynx; sclerotherapy; vascular malformations; venous malformations

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MDPI and ACS Style

Ishikawa, K.; Maeda, T.; Funayama, E.; Murao, N.; Miura, T.; Sasaki, Y.; Seo, D.; Mitamura, S.; Oide, S.; Yamamoto, Y.; et al. Fluoroscopy- and Endoscopy-Guided Transoral Sclerotherapy Using Foamed Polidocanol for Oropharyngolaryngeal Venous Malformations in a Hybrid Operation Room: A Case Series. J. Clin. Med. 2024, 13, 2369. https://doi.org/10.3390/jcm13082369

AMA Style

Ishikawa K, Maeda T, Funayama E, Murao N, Miura T, Sasaki Y, Seo D, Mitamura S, Oide S, Yamamoto Y, et al. Fluoroscopy- and Endoscopy-Guided Transoral Sclerotherapy Using Foamed Polidocanol for Oropharyngolaryngeal Venous Malformations in a Hybrid Operation Room: A Case Series. Journal of Clinical Medicine. 2024; 13(8):2369. https://doi.org/10.3390/jcm13082369

Chicago/Turabian Style

Ishikawa, Kosuke, Taku Maeda, Emi Funayama, Naoki Murao, Takahiro Miura, Yuki Sasaki, Dongkyung Seo, Shintaro Mitamura, Shunichi Oide, Yuhei Yamamoto, and et al. 2024. "Fluoroscopy- and Endoscopy-Guided Transoral Sclerotherapy Using Foamed Polidocanol for Oropharyngolaryngeal Venous Malformations in a Hybrid Operation Room: A Case Series" Journal of Clinical Medicine 13, no. 8: 2369. https://doi.org/10.3390/jcm13082369

APA Style

Ishikawa, K., Maeda, T., Funayama, E., Murao, N., Miura, T., Sasaki, Y., Seo, D., Mitamura, S., Oide, S., Yamamoto, Y., & Sasaki, S. (2024). Fluoroscopy- and Endoscopy-Guided Transoral Sclerotherapy Using Foamed Polidocanol for Oropharyngolaryngeal Venous Malformations in a Hybrid Operation Room: A Case Series. Journal of Clinical Medicine, 13(8), 2369. https://doi.org/10.3390/jcm13082369

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