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Abstract

ACKGROUND: Vascular anomalies represent a wide range of vascular pathology classified by flow velocity. Venous malformations are the most frequent kind of head and neck vascular malformation that cause functional and cosmetic disturbances. Injection sclerotherapy is the initial therapeutic choice for venous abnormalities.AIMS OF STUDY:To compare the effects of bleomycin foam and liquid in treatment of maxillofacial venous malformation regarding the dose, size of the lesion and number of treatment sessions.PATIENT AND METHOD:This study involved 20 patients (11 females, 9 males) with an age range (9- 47) years, had venous malformation in the head and neck region presented to Maxillofacial Surgical department in Alwasity hospital / Baghdad, from Jan 2021 to April 2022.Patients were divided into two equal groups randomly. The odd number of patients (group A) were treated by bleomycin foam injection while the even number group (B) were injected by bleomycin liquid. RESULTS:The results showed in group (A), 6 patients were in scale 4 with an excellent response and 4 patients were in scale 3 good response . In group (B) group, 3 patients were in scale 4 excellent response, 6 patients were in scale 3 good response and one patient was in scale2 fair response.CONCLUSION: Bleomycin liquid and foam injections are effective sclerosing agent for vascular malformation Treatment. Bleomycin foam sclerotherapy was an effective with decrease in number of treatment sessions and less dose of bleomycin medication. Data from the present study suggested more effective treatment outcomes in female than male.

DOI

10.52573/ipmj.2024.140000

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