Nd:YAG Laser Treatment of Massive Tongue Venous Malformation: A Case Report

Author:

Gocal Wiktoria12,Hilal Elias1,Tragon Tyson1

Affiliation:

1. Allegheny General Hospital, PA, USA

2. Drexel University College of Medicine, PA, USA

Abstract

Venous malformations (VM) are slow-flow vascular lesions that result from morphogenesis errors. Composed of dysfunctional veins lacking smooth muscle cells, VMs grow slowly and may initially be managed by observation. Treatment is indicated for lesions that cause functional impairment. One treatment option is laser therapy, which is very effective due to its tissue penetration and relative selectivity. The Nd:YAG laser has been shown to treat small and moderately sized mucosal vascular lesions; in this case, it was applied in a staged approach for treatment of a massive venous malformation of the tongue. A 66-year-old male presented with a venous malformation involving the tongue and lower lip, the lesion estimated to be 10 x 14 x 15 cm in size. The Nd:YAG laser was used in three separate stages to photocoagulate the venous lesion. Follow-up for recurrence is ongoing, but currently shows complete malformation ablation with a 36.2% volume reduction after treatment. The Nd:YAG laser is an effective tool in the treatment of large vascular lesions. Successful laser application in a staged approach for the treatment of a venous malformation of this size and complexity further supports its clinical value. Monitoring for possible recurrence of the venous malformation should be ongoing.

Funder

Financial support for publication of this article was received from the Drexel University Libraries Open Access Publishing Pilot Fund.

Publisher

SAGE Publications

Subject

Otorhinolaryngology

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