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Updated: Oct 1, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[The angiographic classification and sclerotherapy of cavernous hemangiomas of maxilloface]
Zhongping Qin1, Kelei Li, Xuejian Liu
1Department of Hemangioma, Cancer Hospital of Shandong Linyi, Linyi Shandong 276001, China.
Objective:
To explore the factors that affect the curative effect and the best method of treatment for the patients with maxillofacial cavernous hemangiomas.
Methods:
102 cases of maxillofacial cavernous hemangiomas were performed DSA examination and taken serial photography. According to the diameter, number and draining speed of efferent veins of the tumor, the cavernous hemangiomas were classified into two types-the high efferent speed and low efferent speed type. For all of them, were randomly performed embolization of efferent veins with absolute ethanol plus bleomycin-A5 intratumor injection (group I) and bleomycin-A5 intratumor injection alone (group II).
Results:
The cure rate and general effective rate has significant difference (P < 0.01) between two groups in 70 patients with high efferent speed veins, while no significant difference (P > 0.05) in 32 patients with low efferent speed veins.
Conclusions:
This new classification is beneficial for seeking method of treatment. The embolization of efferent veins is an effective method for cavernous hemangioma with high efferent speed veins; but for the type with low efferent speed veins, bleomycin-A5 intratumor injection alone could acquire a good results.
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