title: Bipolar radiofrequency-induced interstitial thermoablation for oral cavity vascular malformations: Preliminary results in a series of 5 children.
abstract: We report our assessment of the effectiveness of bipolar radiofrequency-induced interstitial thermoablation (BRIT) for the treatment of certain oral cavity vascular malformations in 5 children. Two of these patients had lymphangiomatous macroglossia (LM), 1 had lymphangioma circumscriptum (LC), and 2 had a venous malformation (VM). Each patient underwent BRIT at least twice; treatment was delivered at 4- to 8-week intervals according to each patient's circumstances. The 2 patients with LM required three treatment sessions; although their tongue volume decreased after each session, both still required a partial glossectomy to achieve a satisfactory reduction in volume. The patient with LC underwent two BRIT treatments, which reduced the size of the lesion by half; the remainder was excised. The 2 patients with a VM (1 buccal and 1 lingual) responded well to BRIT, and their malformations almost completely disappeared. Our early results with BRIT suggest that it is an effective treatment for oral cavity vascular malformations-more so for patients with venous rather than lymphangiomatous lesions.
authors.affiliation: 1st ENT Clinic, Şişli Etfal Teaching and Research Hospital, İstanbul, Turkey.
authors.forename: Senol
authors.initials: S
authors.lastname: Civelek
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Sayın
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Ercan
authors.forename: Burak Omür
authors.initials: BO
authors.lastname: Cakır
authors.forename: Suat
authors.initials: S
authors.lastname: Turgut
mesh_terms: D000293:Adolescent; D017115:Catheter Ablation / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006979:Hyperthermia, Induced / Q000379:methods*; D008202:Lymphangioma / Q000628:therapy*; D008260:Macroglossia / Q000628:therapy; D008297:Male; D014060:Tongue Diseases / Q000628:therapy; D014062:Tongue Neoplasms / Q000628:therapy*; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000628:therapy*