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Date Published: 24/03/2023
Abstract Views: 174
Views PDF: 106
DOI: https://doi.org/10.51298/vmj.v524i1B.4717
Issue
Vol. 524 No. 1B (2023)
Section
Các bài báo
How to Cite
Lê, T. D. ., & Thân , V. S. . (2023). DIRECT GLUE INJECTION BEFORE SURGICAL EXCISION FOR THE TREATMENT OF VENOUS MALFORMATIONS OF THE HEAD AND NECK. Vietnam Medical Journal, 524(1B). https://doi.org/10.51298/vmj.v524i1B.4717

DIRECT GLUE INJECTION BEFORE SURGICAL EXCISION FOR THE TREATMENT OF VENOUS MALFORMATIONS OF THE HEAD AND NECK

Thanh Dũng Lê1,2,, Văn Sỹ Thân 1
1 Viet Duc hospital
2 VNU Hanoi-University of Medicine and Pharmacy

Main Article Content

Abstract

Purpose: This study aimed to evaluate the safety, technical success, and surgical outcomes of treating venous malformations (VM) by direct glue injection (n-butyl-2-cyanoacrylate) combined with surgical excision of the VM. Methods: Seventeen patients (patients) (9 men, 8 women; median age 21 years old, underwent 18 glue injection procedures) were included in the study. Safety, technical, and clinical success were evaluated retrospectively. Result: Technically successful occlusion was achieved in 16 patients; the remaining 2 VMs achieved occlusion >80% of the VM volume. The mean lesion diameter was 42.55 ± 20.6 mm, and the VM's volume was 56.6 ml, of which 15 VMs were <5cm. Swelling and pain after glue injection appeared in most patients; there were no other complications related to the glue injection. Total resection was achieved at 14 VMs. No case required additional surgery. The mean surgical blood loss was 29.7 ± 17.1 ml; three patients had blood loss > 50 ml. There were no cases requiring blood transfusion during and after surgery. No postoperative complications were noted. Conclusion: Preoperative direct percutaneous glue injection is safe, effective, and can be performed to treat VMs of the head and neck. More comparative studies with other treatment methods and longer-term results are needed to evaluate this method's medium and long-term effects.

Article Details

Keywords

venous malformation, direct glue injection, n-butyl-2-cyanoacrylate

References

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