| METHODS AND DEVICES |
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| Year : 2012 | Volume
: 2
| Issue : 1 | Page : 1-4 |
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Hot hypertonic saline and compression device: a novel approach in preventing severe hemorrhage during extirpation of deep vascular malformations of the face
U Mgbeokwere1, O Egwuom2
1 Department of Oral and Maxillofacial Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria
2 Department of Dentistry, Imo State University Teaching Hospital, Orlu, Nigeria
Correspondence Address:
U Mgbeokwere
Department of Oral and Maxillofacial Surgery, UNTH, Enugu
Nigeria
DOI: 10.4103/2141-9248.96927 PMID: 23209981
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Background: Hemorrhage is a serious challenge in vascular malformations (VMs). This problem makes the surgical excision of the lesions difficult and sometimes impossible. Objective: The objective was to design a technique that will meet with the challenges of hemorrhage while performing surgery in such lesions in our environment. Patients and Methods: Seven patients with deep and moderately large VMs of the facial region were selected and treated with hot 7.5% hypertonic saline after compressing the feeder vessels. This was then complemented with surgical excisions. Results: There were successful surgical extirpations of the lesions without eventful hemorrhage. Conclusion: Hot 7.5% hypertonic saline injected into VMs after emptying their hematic content caused sclerosis of the anomalous vessels. This made bleeding during surgery uneventful. |
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