A Slow Flow Oral Vascular Malformation Managed by Sclerotherapy (3% Sodium Tetradecyl Sulfate) and Diode Laser (980nm): A Case Report

Abstract

Vascular anomalies or lesions consist of wide spectrum of congenital lesions of vascular origin. Broadly, it is classified into proliferative vascular tumors and nonproliferative vascular malformations. Based on the hemodynamic flow, vascular malformations can be classified as high (arteriovenous malformation and arteriovenous fistulas) and low-flow lesions (capillary, venous, lymphatic). Venous malformations commonly seen in the oral region affecting lips, tongue, buccal mucosa, and palate, appear as bluish to deep purple, soft, compressible, pulsatile lesion. Various treatment modalities such as sclerotherapy, surgical resection, laser therapy, cryotherapy, medical therapy can be utilized to manage low-flow vascular malformations. Sclerotherapy and laser are both effective in the management of vascular malformation. We are reporting a case of low-flow vascular malformation managed by sclerotherapy with 3% sodium tetradecyl sulphate followed by diode laser 980nm. No case has been published in which sclerotherapy and laser has been utilized in the same lesion, making this case unique.