Sclerotherapy of oral varicosities: case series report

Authors

  • Lucas Nogueira Ramos Universidade Federal de Juiz de Fora , Campus Governador Valadares , Minas Gerais, Brasil.
  • Thainara de Sousa Silva Universidade Federal de Juiz de Fora, Campus Governador Valadares, Minas Gerais, Brasil. https://orcid.org/0009-0008-0052-3537
  • Rafael Almeida Rocha Universidade Federal de Juiz de Fora, Campus Governador Valadares, Minas Gerais, Brasil. https://orcid.org/0009-0005-1993-6647
  • Bernardo César Costa Universidade Federal de Juiz de Fora, Campus Governador Valadares, Minas Gerais, Brasil. https://orcid.org/0000-0002-6611-1286
  • Rose Mara Ortega Universidade Federal de Juiz de Fora, Campos Governador Valadares, Minas Gerais, Brasil. https://orcid.org/0000-0003-1391-7857

Keywords:

Vascular malformations, Sclerotherapy, Sclerosing solutions.

Abstract

Introduction: Oral varicosities are considered acquired vascular anomalies, often associated with the aging process. They are usually diagnosed in the elderly and the most common sites of involvement are the ventral and lateral border of the tomgue, in addition to the lower labial mucosa. They do not routinely require treatment, except for aesthetic and/or functional reasons. Among the therapeutic options, sclerotherapy stands out, in which sclerosing agents are used to induce an intense inflammatory process that results in vascular fibrosis and regression of the lesion. Monoethanolamine oleate (MO) at 5% has been highlighted due to its wide availability in Brazil, low cost and reduced toxicity. Objective: To describe a series of four clinical cases of oral varicosities treated with sclerotherapy. Methods: Four cases of oral varisosities that underwent sclerotherapy with 5% MO diluited in anesthetic solution without vasoconstrictor were selected. Results: The selected cases showed equal distribution between men and women. The patients’ ages ranged from 49 to 69 years, with a mean of 60.25 years. All patients were white and the main complaint was aesthetic impairment. In three cases (75%), oral varicosity was found in the vermelion of the lower lip, and in one case (25%) in the vermelion of the upper lip. In two cases (50%) a single session was sufficient to resolve the oral varicosity, while in the other two cases (50%) two sessions were necessary for complete resolution. The follow-up visit after one year of sclerotherapy showed that there were no recurrences in any of the cases. Conclusion: Sclerotherapy with 5% MO dilutes in anesthetic salt proved to be an effective, safe, versatile and easy-to-apply method, providing excellent aesthetic results and greater patient comfort, and requiring a reduced number of sessions for the treatment of oral varicosities.

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Published

2025-12-19

How to Cite

1.
Nogueira Ramos L, de Sousa Silva T, Almeida Rocha R, Costa BC, Ortega RM. Sclerotherapy of oral varicosities: case series report. HU Rev [Internet]. 2025Dec.19 [cited 2025Dec.20];51. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/49914

Issue

Vol. 51 (2025)

Section

Relato de Caso

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Copyright (c) 2025 Lucas Nogueira Ramos, Thainara de Sousa Silva, Rafael Almeida Rocha, Bernardo César Costa, Rose Mara Ortega

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