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2193-180152016SpringerPlusSpringerplusA modified Tessari method for producing more foam.12912912910.1186/s40064-016-1769-5This study aimed to develop a modified Tessari method for producing more sclerosing foam in treatment of extensive venous malformations. Sclerosing foam was produced by using Tessari method and the modified Tessari method. The procedure of the later was as follows: prepared foam in a sclerosant-air ratio of 1:4; connected three disposable 10 ml syringes to two medical three-way taps; drawn 4 ml of liquid sclerosant into one syringe and 16 ml averagely of air into the other two; then moved the plungers of all syringes back and forth for 20 times to produce sclerosing foam. The volume and foam half time (FHT) of foam produced by the two methods were compared. The average volume of sclerosing foam produced by Tessari method and the modified Tessari method were 9.8 and 19.7 ml, and assessed to have statistical difference. The FHT of foam produced by the two methods were 120 and 150 s, and assessed to have statistical difference. In conclusion, the modified Tessari method could produce more fresh and stable sclerosing foam.XuJieJSchool of Stomatology, Shandong University, No. 44, Wenhuaxi-Road, Jinan, 250012 People's Republic of China ; Department of Oral and Maxillofacial Surgery, Stomatology Hospital of Jinan, No. 101, Jingliu-Road, Jinan, 250012 People's Republic of China.WangYi-FeiYFSchool of Stomatology, Shandong University, No. 44, Wenhuaxi-Road, Jinan, 250012 People's Republic of China.ChenAn-WeiAWDepartment of Oral and Maxillofacial Surgery and Institute of Dental Medicine, Qilu Hospital, Shandong University, No. 107, Wenhuaxi-Road, Jinan, 250012 People's Republic of China.WangTaoTDepartment of Oral and Maxillofacial Surgery and Institute of Dental Medicine, Qilu Hospital, Shandong University, No. 107, Wenhuaxi-Road, Jinan, 250012 People's Republic of China.LiuShao-HuaSHDepartment of Oral and Maxillofacial Surgery and Institute of Dental Medicine, Qilu Hospital, Shandong University, No. 107, Wenhuaxi-Road, Jinan, 250012 People's Republic of China ; Department and Institute of Dental Medicine, Qilu Hospital, Shandong University, Wenhuaxi-Road, Jinan, 250012 People's Republic of China.engJournal Article20160219
SwitzerlandSpringerplus1015979672193-1801Modified Tessari methodSclerosing foamSclerotherapyTessari techniqueVenous malformations2015102920162122016336020163560201635612016219epublish26933628PMC476095610.1186/s40064-016-1769-51769Chen AW, Liu YR, Li K, Wang T, Liu SH. Efficacy of sclerotherapy with radio-opaque foam guided by digital subtraction angiography for the treatment of complex venous malformations of the head and neck. Br J Oral Maxillofac Surg. 2015;53(9):809–813. doi: 10.1016/j.bjoms.2015.05.024.10.1016/j.bjoms.2015.05.02426113044Eckmann DM. Polidocanol for endovenous microfoam sclerosant therapy. Expert Opin Investig Drugs. 2009;18:1919–1927. doi: 10.1517/13543780903376163.10.1517/13543780903376163PMC278797719912070Ikponmwosa A, Abbott C, Graham A, Homer-Vanniasinkam S, Gough MJ. The impact of different concentrations of sodium tetradecyl sulphate and initial balloon denudation on endothelial cell loss and tunica media injury in a model of foam sclerotherapy. Eur J Vasc Endovasc Surg. 2010;39:366–371. doi: 10.1016/j.ejvs.2009.12.025.10.1016/j.ejvs.2009.12.02520080424Luebke T, Brunkwall J. Systematic review and metaanalysis of endovenous radiofrequency obliteration, endovenous laser therapy, and foam sclerotherapy for primary varicosis. J Cardiovasc Surg (Torino) 2008;49:213–233.18431342Myers KA, Roberts S. Evaluation of published reports of foam sclerotherapy: what do we know conclusively? Phlebology. 2009;24(6):275–280. doi: 10.1258/phleb.2009.009048.10.1258/phleb.2009.00904819952384Nastasa V, Samaras K, Ampatzidis Ch, Karapantsios TD, Trelles MA, Moreno-Moraga J, Smarandache A, Pascu ML. Properties of polidocanol foam in view of its use in sclerotherapy. Int J Pharm. 2015;478:588–596. doi: 10.1016/j.ijpharm.2014.11.056.10.1016/j.ijpharm.2014.11.05625433198Park Sang Woo, Yun Ik Jin, Hwang Jae Joon, Lee Song Am, Kim Jun Seok, Chee Hyun Keun, Chang Il Soo. Fluoroscopy-guided endovenous sclerotherapy using a microcatheter prior to endovenous laser ablation: comparison between liquid and foam sclerotherapy for varicose tributaries. Korean J Radiol. 2014;15(4):481–487. doi: 10.3348/kjr.2014.15.4.481.10.3348/kjr.2014.15.4.481PMC410581125053908Stimpson P, Hewitt R, Barnacle A, Roebuck DJ, Hartley B. Sodium tetradecyl sulphate sclerotherapy for treating venous malformations of the oral and pharyngeal regions in children. Int J Pediatr Otorhinolaryngol. 2012;76(4):569–573. doi: 10.1016/j.ijporl.2012.01.019.10.1016/j.ijporl.2012.01.01922341629Tessari L. Extemporary sclerosing foam according to personal method: experimental clinical data and catheter usage. Int Angiol Suppl. 2001;1:54.Tessari L. Nouvelle technique d’obtention de la scle´ro-mousse. Phlébologie. 2005;53:129.Tessari L, Cavezzi A, Frullini A. Preliminary experience with a new sclerosing foam in the treatment of varicose veins. Dermatol Surg. 2001;27:58–60.11231246Van der Vleuten CJ, Kater A, Wijnen MH, Schultze Kool LJ, Rovers MM. Effectiveness of sclerotherapy, surgery, and laser therapy in patients with venous malformations: a systematic review. Cardiovasc Intervent Radiol. 2014;37:977–989.24196269Van Deurzen B, Ceulen RP, Tellings SS, van der Geld C, Nijsten T. Polidocanol concentration and time affect the properties of foam used for sclerotherapy. Dermatol Surg. 2011;37:1448–1455. doi: 10.1111/j.1524-4725.2011.02095.x.10.1111/j.1524-4725.2011.02095.x21790848Wolmann JC. Sclerosant foams Stabilities, physical properties and rheological behavior. Phlebologie. 2010;39:208–217.