Department of Plastic and Reconstructive Surgery, Center for Vascular Anomalies, Tonan Hospital.
Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Hokkaido, Japan.
J Craniofac Surg. 2022 May 1;33(3):e292-e293. doi: 10.1097/SCS.0000000000008149. Epub 2021 Sep 10.
Arteriovenous malformation (AVM) sometimes causes hemorrhage that can be fatal. We report a case of AVM of the tongue with bleeding that was treated by semi-emergent sclerotherapy with polidocanol. A 33-year-old woman presented with Schobinger stage III AVM of the tongue. Sclerotherapy with 3% polidocanol foam was performed under general anesthesia using curved intestinal forceps to clamp the root of the tongue for control of blood flow. Postoperatively, there was no further bleeding from the lesion. Three subsequent sclerotherapy sessions with polidocanol were performed, and there was a marked reduction in the size of the lesion. The lesion has remained well controlled in the year since the last sclerotherapy session.
动静脉畸形（AVM）有时会引起致命的出血。我们报告了一例舌部 AVM 伴出血的病例，该病例采用聚多卡醇硬化治疗进行半紧急治疗。一位 33 岁女性因舌部 Schobinger III 期 AVM 就诊。在全身麻醉下，使用弯曲的肠钳夹住舌根以控制血流，用 3%聚多卡醇泡沫进行硬化治疗。术后，病变处无进一步出血。随后进行了 3 次聚多卡醇硬化治疗，病变明显缩小。自最后一次硬化治疗以来的 1 年中，病变得到了很好的控制。
