The effects of surgical treatment and sclerotherapy for intramuscular venous malformations: a comparative clinical study

Background Venous malformations (VMs) are the most common type of vascular malformations. Intramuscular venous malformations (IMVMs) are lesions involving the muscles, excluding intramuscular hemangiomas. The purpose of this study was to compare clinical outcomes between patients with IMVMs who were...

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Autores principales:	Yun Hyun Kim, Jeong Yeop Ryu, Joon Seok Lee, Seok Jong Lee, Jong Min Lee, Sang Yub Lee, Seung Huh, Ji Yoon Kim, Ho Yun Chung
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society of Plastic and Reconstructive Surgeons 2021
Materias:	intramuscular venous malformation surgery sclerotherapy Surgery RD1-811
Acceso en línea:	https://doaj.org/article/c19d2f9ccafe4d2a87abacf8c79c6c6a
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spelling	oai:doaj.org-article:c19d2f9ccafe4d2a87abacf8c79c6c6a2021-11-25T06:04:37ZThe effects of surgical treatment and sclerotherapy for intramuscular venous malformations: a comparative clinical study2234-61632234-617110.5999/aps.2021.00913https://doaj.org/article/c19d2f9ccafe4d2a87abacf8c79c6c6a2021-11-01T00:00:00Zhttp://www.e-aps.org/upload/pdf/aps-2021-00913.pdfhttps://doaj.org/toc/2234-6163https://doaj.org/toc/2234-6171Background Venous malformations (VMs) are the most common type of vascular malformations. Intramuscular venous malformations (IMVMs) are lesions involving the muscles, excluding intramuscular hemangiomas. The purpose of this study was to compare clinical outcomes between patients with IMVMs who were treated with sclerotherapy and those who were treated with surgical excision. Methods Of 492 patients with VMs treated between July 2011 and August 2020 at a single medical center for vascular anomalies, 63 patients diagnosed with IMVM were retrospectively reviewed. Pain, movement limitations, swelling, and quality of life (QOL) were evaluated subjectively, while radiological outcomes were assessed by qualified radiologists at the center. Complication rates were also evaluated, and radiological and clinical examinations were used to determine which treatment group (sclerotherapy or surgical excision) exhibited greater improvement. Results Although there were no significant differences in pain (P=0.471), swelling (P=0.322), or the occurrence of complications (P=0.206) between the two treatment groups, the surgical treatment group exhibited significantly better outcomes with regard to movement limitations (P=0.010), QOL (P=0.013), and radiological outcomes (P=0.017). Moreover, both duplex ultrasonography and magnetic resonance imaging showed greater improvements in clinical outcomes in the surgical excision group than in the sclerotherapy group. Conclusions Although several studies have examined IMVM treatment methods, no clear guidelines for treatment selection have been developed. Based on the results of this study, surgical excision is strongly encouraged for the treatment of IMVMs.Yun Hyun KimJeong Yeop RyuJoon Seok LeeSeok Jong LeeJong Min LeeSang Yub LeeSeung HuhJi Yoon KimHo Yun ChungKorean Society of Plastic and Reconstructive Surgeonsarticleintramuscular venous malformationsurgerysclerotherapySurgeryRD1-811ENArchives of Plastic Surgery, Vol 48, Iss 6, Pp 622-629 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	intramuscular venous malformation surgery sclerotherapy Surgery RD1-811
spellingShingle	intramuscular venous malformation surgery sclerotherapy Surgery RD1-811 Yun Hyun Kim Jeong Yeop Ryu Joon Seok Lee Seok Jong Lee Jong Min Lee Sang Yub Lee Seung Huh Ji Yoon Kim Ho Yun Chung The effects of surgical treatment and sclerotherapy for intramuscular venous malformations: a comparative clinical study
description	Background Venous malformations (VMs) are the most common type of vascular malformations. Intramuscular venous malformations (IMVMs) are lesions involving the muscles, excluding intramuscular hemangiomas. The purpose of this study was to compare clinical outcomes between patients with IMVMs who were treated with sclerotherapy and those who were treated with surgical excision. Methods Of 492 patients with VMs treated between July 2011 and August 2020 at a single medical center for vascular anomalies, 63 patients diagnosed with IMVM were retrospectively reviewed. Pain, movement limitations, swelling, and quality of life (QOL) were evaluated subjectively, while radiological outcomes were assessed by qualified radiologists at the center. Complication rates were also evaluated, and radiological and clinical examinations were used to determine which treatment group (sclerotherapy or surgical excision) exhibited greater improvement. Results Although there were no significant differences in pain (P=0.471), swelling (P=0.322), or the occurrence of complications (P=0.206) between the two treatment groups, the surgical treatment group exhibited significantly better outcomes with regard to movement limitations (P=0.010), QOL (P=0.013), and radiological outcomes (P=0.017). Moreover, both duplex ultrasonography and magnetic resonance imaging showed greater improvements in clinical outcomes in the surgical excision group than in the sclerotherapy group. Conclusions Although several studies have examined IMVM treatment methods, no clear guidelines for treatment selection have been developed. Based on the results of this study, surgical excision is strongly encouraged for the treatment of IMVMs.
format	article
author	Yun Hyun Kim Jeong Yeop Ryu Joon Seok Lee Seok Jong Lee Jong Min Lee Sang Yub Lee Seung Huh Ji Yoon Kim Ho Yun Chung
author_facet	Yun Hyun Kim Jeong Yeop Ryu Joon Seok Lee Seok Jong Lee Jong Min Lee Sang Yub Lee Seung Huh Ji Yoon Kim Ho Yun Chung
author_sort	Yun Hyun Kim
title	The effects of surgical treatment and sclerotherapy for intramuscular venous malformations: a comparative clinical study
title_short	The effects of surgical treatment and sclerotherapy for intramuscular venous malformations: a comparative clinical study
title_full	The effects of surgical treatment and sclerotherapy for intramuscular venous malformations: a comparative clinical study
title_fullStr	The effects of surgical treatment and sclerotherapy for intramuscular venous malformations: a comparative clinical study
title_full_unstemmed	The effects of surgical treatment and sclerotherapy for intramuscular venous malformations: a comparative clinical study
title_sort	effects of surgical treatment and sclerotherapy for intramuscular venous malformations: a comparative clinical study
publisher	Korean Society of Plastic and Reconstructive Surgeons
publishDate	2021
url	https://doaj.org/article/c19d2f9ccafe4d2a87abacf8c79c6c6a
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The effects of surgical treatment and sclerotherapy for intramuscular venous malformations: a comparative clinical study

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