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Percutaneous Ethanol Sclerotherapy of Venous Malformations of the Tongue

Philip L. Johnsona, Donald A. Eckarda, Marci A. Brecheisena, Douglas A. Girodb and Terrence T. Tsueb

a Department of Radiology, University of Kansas Medial Center, Kansas City, KS
b Department of Otolaryngology, Head and Neck Surgery, University of Kansas Medial Center, Kansas City, KS



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FIG 1. Image of a 42-year-old man with extensive venous malformation of the tongue.



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FIG 2. Direct puncture venogram, obtained through the floor of the mouth, shows opacification of a multilobular mass (arrow) deep within the tongue, with an appearance typical of that of venous malformation.



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FIG 3. MR images show high signal intensity for venous malformations.

A, Axial T2-weighted MR image shows a heterogenous hyperintense mass within the right base of the tongue (arrow).

B, Follow-up axial T2-weighted MR image, obtained 6 months after percutaneous ethanol sclerotherapy, reveals near complete resolution of the tongue base venous malformation.