Intralesional radiofrequency treatment for venous lake.

BACKGROUND

Venous lakes are asymptomatic, cosmetically unacceptable vascular malformations commonly present over the lips. Most of the lesions do not warrant any therapeutic intervention.

OBJECTIVE

We herein report a 20-year-old male patient with venous lake who was treated using intralesional radiofrequency (RF) by modified insulated intravenous cannula as an extended probe.

METHODS

An RF ablation was performed under local infiltration anesthesia using intravenous infusion cannula as an extended insulated probe to deliver current.

RESULTS

The venous lake was obliterated immediately post-procedure with minimal inflammatory change. It showed good cosmetic results with minimal scarring and no recurrence at 18 months of follow-up.

CONCLUSIONS

Intralesional RF using modified insulated probe is a useful alternative treatment and may be considered to treat small venous lakes.