Comparative study between Bleomycin sclerotherapy and interstitial Nd:YAG laser in treatment of venous malformations

Abstract

Venous malformation (VM) is the most common form of vascular malformation, which affects approximately 1% of the population. VM affects different anatomic regions of the body and different types of tissues, with variable presenting symptoms including swelling/contour deformity, skin discolouration and pain. Aim of the Work: to compare effectiveness of bleomycin sclerotherapy and Nd:YAG interstitial laser in the treatment of venous malformation by using subjective clinical assessment and objective changes on MR imaging. Patients and Methods: This study was done at plastic surgery department in Ain Shams University hospitals between June 2015 to June 2018. It included 30 patients of all age groups of both sex, with venous malformation. Results: Considering outcome, in our study (73.3%) of group I showed Significant outcome while (0%) of group II showed significant outcome with mild to moderate outcome mainly occurred in group II. Conclusion: Level of satisfaction and improvement are better in patients treated by bleomycin sclerotherapy than of patients treated by Nd: YAG interstitial laser. Also bleomycin sclerotherapy is safer especially in pediatrics and in head and neck lesions, cheaper and occur as outpatient procedure. There was statistically significant relation between overall outcome according to Size and level of satisfaction.