Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/50906
Title: Laser treatment of 13 benign oral vascular lesions by three different surgical techniques
Author: Romeo, Umberto
Vecchio, Alessandro del
Russo, Claudia
Palaia, Gaspare
Gaimari, Gianfranco
Arnabat Domínguez, Josep
España Tost, A. J. (Antonio Jesús)
Keywords: Làsers en odontologia
Malalties de la boca
Cirurgia oral
Lasers in dentistry
Mouth diseases
Oral surgery
Issue Date: 1-Mar-2013
Publisher: Medicina Oral SL
Abstract: Objectives: Benign Oral Vascular Lesions (BOVLs) are a group of vascular diseases characterized by congenital, inflammatory or neoplastic vascular dilations clinically evidenced as more or less wide masses of commonly dark bluish color. If traumatized BOVLs are characterized by a great risk of hemorrhage and their treatment usually requires great caution to prevent massive bleeding. In the last decades lasers have dramatically changed the way of treatment of BOVLs permitting the application of even peculiar techniques that gave interesting advantages in their management reducing hemorrhage risks. The aim of this study was to evaluate the capabilities and disadvantages of three laser assisted techniques in the management of BOVLs. Study design: In this study 13 BOVLs were treated by three different laser techniques: the traditional excisional biopsy (EB), and two less invasive techniques, the transmucosal thermocoagulation (TMT) and the intralesional photocoagulation (ILP). Two different laser devices were adopted in the study: a KTP laser (DEKA, Florence, Italy, 532nm) and a GaAlAs laser (Laser Innovation, Castelgandolfo, Italy, 808nm) selected since their great effectiveness on hemoglobin. Results: In each case, lasers permitted safe treatments of BOVLs without hemorrhages, both during the intervention and in the post-operative period. The minimally invasive techniques (TMT and ILP) permitted even the safe resolution of big lesions without tissue loss. Conclusions: Laser devices confirm to be the gold standard in BOVLs treatment, permitting even the introduction of minimal invasive surgery principles and reducing the risks of hemorrhage typical of these neoplasms. As usual in laser surgery, it is necessary a clear knowledge of the devices and of the laser-tissue interaction to optimize the results reducing risks and disadvantages
Note: Reproducció del document publicat a: http://dx.doi.org/10.4317/medoral.18156
It is part of: Medicina Oral, Patología Oral y Cirugia Bucal, 2013, vol. 18, num. 2, p. 279-284
Related resource: http://dx.doi.org/10.4317/medoral.18156
URI: http://hdl.handle.net/2445/50906
ISSN: 1698-4447
Appears in Collections:Articles publicats en revistes (Odontostomatologia)

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