Venolymphatic Malformation

Previously known as Lymphangioma
Lesions with more venous component have more difficult course.
Ultrasound localization
Sclerosing agents
- absolute etoh,
- bleomycin, doxycycline foam (albumin+air)
- sodium tetradecyl sulfate (with gel foam)
Strategies
- dual agent therapies for macrocysts
- foam for microcysts
Complications
- diplopia, corneal exposure, mydriasis! increased IOP, orbital compartment syndrome, corneal/globe penetration
Shortcomings of sclerosing treatment
- won't affect fibrous component
- multiple treatments often needed