Laser treatment of 13 benign oral vascular lesions by three different surgical techniques
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Romeo, Umberto; Del Vecchio, Alessandro; Russo, Claudia; Palaia, Gaspare; Gaimari, Gianfranco; Arnabat Domínguez, Josep; España Tost, Antonio Jesús
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Aquest document és un/a article, creat/da en: 2013
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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 disadvan
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tages 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 ef
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fectiveness on hemoglobin.
Results: In each case, lasers permitted safe treatments of BOVLs without hemorrhages, both during the interven
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tion 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.
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