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Chronic facial pain following injection of sodium tetradecyl sulphate into an intraparotid haemolymphangioma

Published online by Cambridge University Press:  12 July 2007

D P Crampsey ,
L Cochrane ,
D Roebuck  and
B E Hartley
D P Crampsey*
Affiliation:
Department of Paediatric Otolaryngology and Head and Neck Surgery, Great Ormond Street Hospital for Children NHS Trust, London, UK
L Cochrane
Affiliation:
Department of Paediatric Otolaryngology and Head and Neck Surgery, Great Ormond Street Hospital for Children NHS Trust, London, UK
D Roebuck
Affiliation:
Department of Interventional Radiology, Great Ormond Street Hospital for Children NHS Trust, London, UK
B E Hartley
Affiliation:
Department of Paediatric Otolaryngology and Head and Neck Surgery, Great Ormond Street Hospital for Children NHS Trust, London, UK
*
Address for correspondence: Mr David P Crampsey, Specialist Registrar in Otolaryngology, Gartnavel General Hospital, 1053 Great Western Road, Glasgow G12 0YN, Scotland, UK. E-mail: David.Crampsey@NorthGlasgow.Scot.NHS.UK
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Abstract

Objective:

We report a rare case of chronic facial pain following sclerotherapy for intraparotid haemolymphangioma, thereby highlighting an important clinical consideration when advising this treatment option as an alternative to surgery in the head and neck.

Method:

Case report, with a review of relevant literature.

Results:

Sclerotherapy of lymphangiomata is well reported in the literature. Unusually, our young patient with an intraparotid haemolymphangioma experienced severe, chronic pain following intralesional injection of sodium tetradecyl sulphate, which required management by a specialist pain service. We discuss the technique of sclerotherapy for such lesions, and also discuss the potential side effects of two agents commonly used in our centre: OK 432 and sodium tetradecyl sulphate.

Conclusion:

Non-surgical treatments of lymphangiomata and venous vascular malformations are not without complication. Both patient and clinician should be aware of this, and of the other potential side effects of sclerotherapy, prior to its use in the head and neck.

Keywords

LymphangiomaSclerotherapyLymphatic Malformation
Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 9 , September 2008 , pp. 1002 - 1004
Copyright
Copyright © JLO (1984) Limited 2007

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