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P140 Upper Aerodigestive Tract Venous Malformations

P140 Upper Aerodigestive Tract Venous Malformations Objective: To examine the experience of our vascular anomalies team with venous malformations (VMs) of the upper aerodigestive tract (UADT) and provide management recommendations for this disorder. Design: Retrospective chart review. Setting: University of Arkansas for Medical Sciences. Patients: Twenty-six patients (15 female and 11 male), treated from 1992 to 2006, with clinical and radiographic evidence of UADT VM. Results: All patients’ conditions were diagnosed at childhood but often with a misdiagnosis as hemangioma. Current diagnosis was based solely on clinical and radiographic evidence. Presenting symptoms included upper airway compromise, speech problems, bleeding, and pain. Seven patients underwent previous treatment consisting of sclerotherapy and/or laser therapy. Areas involved were the nasal cavity, nasopharynx, lower lip, floor of the mouth, tonsils, tongue, palate, pharynx, hypopharynx, and supraglottic larynx. Two patients with intranasal VM involving dura underwent craniofacial resection. Tongue VMs were excised in 4 patients (3 with reconstruction) who have shown evidence of clinical cure. Twenty-two patients completed 1 or more YAG laser treatments with 25% to 75% disease improvement. Conclusions: Significant morbidity results from VMs involving the UADT. Most physicians have little to no experience with UADT VMs and are unclear how to manage them. We present our experience with UADT VMs and offer management recommendations. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

P140 Upper Aerodigestive Tract Venous Malformations

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P140 Upper Aerodigestive Tract Venous Malformations

Abstract

Objective: To examine the experience of our vascular anomalies team with venous malformations (VMs) of the upper aerodigestive tract (UADT) and provide management recommendations for this disorder. Design: Retrospective chart review. Setting: University of Arkansas for Medical Sciences. Patients: Twenty-six patients (15 female and 11 male), treated from 1992 to 2006, with clinical and radiographic evidence of UADT VM. Results: All patients’ conditions were diagnosed at childhood but...
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Publisher
American Medical Association
Copyright
Copyright © 2006 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.132.8.893-a
Publisher site
See Article on Publisher Site

Abstract

Objective: To examine the experience of our vascular anomalies team with venous malformations (VMs) of the upper aerodigestive tract (UADT) and provide management recommendations for this disorder. Design: Retrospective chart review. Setting: University of Arkansas for Medical Sciences. Patients: Twenty-six patients (15 female and 11 male), treated from 1992 to 2006, with clinical and radiographic evidence of UADT VM. Results: All patients’ conditions were diagnosed at childhood but often with a misdiagnosis as hemangioma. Current diagnosis was based solely on clinical and radiographic evidence. Presenting symptoms included upper airway compromise, speech problems, bleeding, and pain. Seven patients underwent previous treatment consisting of sclerotherapy and/or laser therapy. Areas involved were the nasal cavity, nasopharynx, lower lip, floor of the mouth, tonsils, tongue, palate, pharynx, hypopharynx, and supraglottic larynx. Two patients with intranasal VM involving dura underwent craniofacial resection. Tongue VMs were excised in 4 patients (3 with reconstruction) who have shown evidence of clinical cure. Twenty-two patients completed 1 or more YAG laser treatments with 25% to 75% disease improvement. Conclusions: Significant morbidity results from VMs involving the UADT. Most physicians have little to no experience with UADT VMs and are unclear how to manage them. We present our experience with UADT VMs and offer management recommendations.

Journal

Archives of Otolaryngology - Head & Neck Surgery – American Medical Association

Published: Aug 1, 2006

Keywords: congenital anomaly of vein,upper aerodigestive tract

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