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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Dynamic postcricoid venous malformation causing episodic airway obstruction: a multidisciplinary report
Joshua Rapp1,2, Brian Kulbersh3,2, Junaid Raja4,5
1Department of Interventional Radiology Heersink School of Medicine, University of Alabama at Birmingham, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.
Oral Radiology
|June 11, 2026
Summary
A rare dynamic venous malformation in a young child's airway was successfully treated with percutaneous ethanol sclerotherapy. This multidisciplinary approach resolved symptoms and the malformation without complications.
Area of Science:
- Otolaryngology
- Interventional Radiology
- Pediatric Airway Disorders
Background:
- Dynamic postcricoid hypopharyngeal venous malformations are rare in children.
- These vascular anomalies can cause significant airway obstruction and symptoms.
Purpose of the Study:
- To report a rare case of a dynamic postcricoid hypopharyngeal venous malformation in a pediatric patient.
- To detail the diagnostic process and successful treatment using percutaneous ethanol sclerotherapy.
Main Methods:
- Direct puncture and ethanol sclerotherapy of the venous malformation under general anesthesia.
- Utilized a controlled Valsalva maneuver to enhance visualization of the lesion.
- Confirmed intralesional placement with contrast injection prior to sclerotherapy.
Main Results:
- Percutaneous ethanol sclerotherapy was technically and clinically successful.
- Follow-up laryngoscopy confirmed complete resolution of the venous malformation.
- The patient experienced complete symptom resolution without any complications.
Conclusions:
- Multidisciplinary collaboration is crucial for managing pediatric airway vascular anomalies.
- Percutaneous alcohol sclerotherapy is a safe and effective treatment for pediatric airway venous malformations.
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