title: Hot Hypertonic Saline and Compression Device: A Novel Approach in Preventing Severe Hemorrhage during Extirpation of Deep Vascular Malformations of the Face.
abstract: 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.
  
  
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria.
authors.forename: U
authors.initials: U
authors.lastname: Mgbeokwere
authors.forename: O
authors.initials: O
authors.lastname: Egwuom