The Effect of Alcohol (ethanol) and Boiled Distilled Water in The Treatment of Oral Venous Malformations: A comparative study

Abstract

Introduction: The head and neck region are a common location for benign blood vessel lesions called vascular malformations. There is no well-established procedure for reducing the size of benign oral vascular lesions, even though the fact that sclerotherapy is one of the first-line treatments utilized for this goal. The current study's purpose was to assess and contrast the effectiveness of intra-lesion sclerotherapy injections of boiled distilled water and alcohol in treating superficial mucosal vascular malformations in the maxillofacial region.
Materials and methods: In the soft tissues of the craniofacial region, low-flow superficial vascular malformations were studied in cases that were treated between 2016 and 2021 at Al-Yarmouk teaching hospital in Baghdad, Iraq, in this retrospective analysis.
Results: There were 20 patients in total who received sclerotherapy, with the age range from 1 to 57 years, ten (50%) of the cases treated using boiled distilled water and 10 (50%) treated by alcohol injection. The majority (60%) of the participants were women. The tongue (30%) and lips (60%) were the two most affected body parts. 16 individuals (80%) in both groups experienced total regression. The lesions partially regressed in four patients (20%).
Conclusion: Sclerotherapy with alcohol or boiled water is an appropriate and cost-effective therapeutic method that, when carried out properly, exhibits effectiveness.