Maxillofacial Vascular malformations are congenital anomalies that cause many functional and esthetic complications. Intralesional sclerotherapy is currently their gold standard treatment option. There are many sclerosing agents availablewith various advantages and disadvantages; Ethanol-amine Oleate is among the most commonly used sclerosing agents. The aim of this review article is to provide a clear understanding of usage, pros and cons of Ethanolamine oleate sclerosing agent in management of low flow maxillofacial vascular malformations.