Efficacy of preoperative sclerotherapy in the surgical management of buccal venous hemangioma: A case report

Choi, Si-On; Leem, Dae Ho; Ku, Jeong-Kui

doi:2026.64.9.307

J Korean Dent Assoc > Volume 64(9); 2026 > Article

Case Report

Journal of Korean Dental Association 2026;64(9):307-311.
DOI: https://doi.org/10.22974/jkda.2026.64.9.002 Published online September 30, 2026.

Efficacy of preoperative sclerotherapy in the surgical management of buccal venous hemangioma: A case report

Si-On Choi¹

, Dae Ho Leem¹

, Jeong-Kui Ku^1,2

¹Department of Oral and Maxillofacial Surgery, Jeonbuk National University Hospital, Jeonju, Korea
²Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea

Correspondence: Dae Ho Leem, Tel: +82-63-250-2113,
Email: idisho@jbnu.ac.kr

Received: 14 April 2026 • Revised: 2 September 2026 • Accepted: 7 September 2026

Abstract

Sclerotherapy has emerged as a valuable adjunctive therapy in the management of venous hemangioma. Sclerosant agents induce endothelial damage, leading to fibrosis and obliteration of the vascular lumen, ultimately reducing blood flow to the lesion. In this case report, we present a patient with a venous hemangioma of the buccal mucosa who underwent four sessions of sclerotherapy with limited lesion regression. However, during subsequent surgical resection, intraoperative bleeding was minimal and postoperative healing was uneventful, suggesting that sclerotherapy contributed significantly to surgical hemostasis. This report highlights the potential role of preoperative sclerotherapy in facilitating the safe resection of oral venous hemangiomas.

Key Words: Sclerotherapy; Hemangioma; Mouth Mucosa; Sodium Tetradecyl Sulfate; Hemostasis, Surgical