Esclerosamente de varicosidades orais: relato de série de casos

Abstract

Introduction: Oral varicosities are acquired vascular anomalies commonly associated with aging. They are frequently diagnosed in elderly individuals, particularly on the ventral and lateral surfaces of the tongue and the lower labial mucosa. Treatment is generally unnecessary unless for aesthetic or functional reasons. Among therapeutic options, sclerotherapy stands out as a minimally invasive technique that induces vascular fibrosis through a controlled inflammatory response. Monoethanolamine oleate (MO) at 5% has gained attention due to its wide availability in Brazil, low cost, and reduced toxicity. Objective: To report a series of four clinical cases of oral varicosities treated with 5% MO diluted in anesthetic solution without vasoconstrictor. Methods: Four patients (50% male, 50% female), aged 49 to 69 years (mean: 60.25), all white, presented with aesthetic complaints. In three cases (75%), the lesion was located on the lower lip vermilion; in one case (25%), on the upper lip. All underwent sclerotherapy with 5% MO diluted in anesthetic solution without vasoconstrictor. Results: Two cases (50%) resolved after a single session; the remaining two required two sessions. No recurrences were observed after one year of follow-up. Conclusion: Sclerotherapy with 5% monoethanolamine oleate diluted in anesthetic solution proved to be an effective, safe, and well-tolerated treatment for oral varicosities, offering excellent aesthetic outcomes with minimal intervention.