American society of pediatric otolaryngology vascular anomalies task force review of tongue venous malformations: Techniques, pearls, and pitfalls

Neha A Patel; Juliana Bonilla-Velez; Tara L Rosenberg; David Siegel; Giri Shivaram; Robert H Chun; Milton Waner; Teresa M O; Itay Chen; Rony Moon; Gresham T Richter; Jonathan A Perkins

doi:10.1016/j.ijporl.2023.111497

American society of pediatric otolaryngology vascular anomalies task force review of tongue venous malformations: Techniques, pearls, and pitfalls

Int J Pediatr Otorhinolaryngol. 2023 Apr:167:111497. doi: 10.1016/j.ijporl.2023.111497. Epub 2023 Mar 5.

Authors

Affiliations

¹ Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Otolaryngology-Head and Neck Surgery, Hempstead, NY, USA; Cohen Children's Medical Center, Division of Pediatric Otolaryngology, New Hyde Park, NY, USA. Electronic address: npatel41@northwell.edu.
² Seattle Children's Hospital, Division of Pediatric Otolaryngology-Head and Neck Surgery, Seattle, WA, USA; University of Washington, Department of Otolaryngology-Head and Neck Surgery, Seattle, WA, USA; Center for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA, 98101, USA.
³ Baylor College of Medicine, Department of Otolaryngology-Head and Neck Surgery, Houston, TX, USA.
⁴ Cohen Children's Medical Center, Division of Radiology, New Hyde Park, NY, USA.
⁵ Division of Interventional Radiology, Seattle Children's Hospital, Seattle, WA, USA.
⁶ Medical College of Wisconsin, Department of Otolaryngology-Head and Neck Surgery, Milwaukee, WI, USA.
⁷ Vascular Birthmark Institute of New York, Department of Otolaryngology, Lenox Hill and Manhattan Eye, Ear, and Throat Hospitals, New York, NY, USA.
⁸ Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR, USA.

PMID: 36893584
DOI: 10.1016/j.ijporl.2023.111497

Abstract

Management of tongue venous malformations can be challenging in the pediatric population due to their heterogeneity in presentation, extent of involvement and functional compromise. It is important to recognize the value of various treatment options in order to guide management of each patient in an individualized fashion. Here we describe a series of patients with tongue venous malformations that are managed using diverse modalities to illustrate the relative benefits and risks of each technique. The challenges of venous malformation treatment can be mitigated by tailoring the approach to each individual patient and malformation. This case series also emphasizes the need and importance of working in the setting of a multidisciplinary vascular anomalies team.

Keywords: Glossectomy; Glue embolization; Sclerotherapy; Tongue; Vascular anomalies; Venous malformations.

Publication types

Review

MeSH terms

Child
Embolization, Therapeutic* / methods
Humans
Sclerotherapy / methods
Tongue
Vascular Malformations* / diagnosis
Vascular Malformations* / therapy
Veins / abnormalities