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Introduction: The appearance of vascular anomalies in the orofacial area is a common condition, which represents
about 50% of these malformations. Traditional treatment approach, such as surgery and chemical sclerosis has
been given way to a few less-invasive options, as the use of the 810nm diode laser to induce the sclerosis of the
venous malformation by intralesional photocoagulation.
Objectives: The objective of this study was to determine the efficacy of the diode laser in the intralesional treatment of the orofacial venous malformations (OFVM), describing the recommended surgical approach, as well as
to report the main associated complications.
Patients and Methods: 10 cases of OFVM, diagnosed and treated at the Oral Surgery Department of the Dental
Clinic of the University of Barcelona, between January, 2009 and April, 2011. Every case was treated under local
anesthesia, performing at least one intralesional session of diode laser, applying an 1W active optic fiber, in continuous mode, inserted into the interior of the lesion through an intramuscular needle, from the deepest portion
to the surface of the lesion. Postoperative medication was indicated and follow-up visits were perform during a
period of at least 6 months.
Results: Of a total of 10 cases of OFVM, mean age of 25.4 years, 8 required just a single session with intralesional
laser diode, before the clinical verification of a total reduction of size of the lesion. In 2 of these cases, were needed
at least 2 sessions of intralesional photocoagulation to reach a satisfactory cosmetic result. No complications of
any kind occurred. After a follow-up period of at least 6 months only a case of recurrence was described.
Discussion and Conclusions: The advantages associated to the use of non-invasive techniques in the treatment of
OVM, along with the success rate and low number of relapses, shows the use of the diode laser as a therapy to be
considered in the treatment of these lesions. A higher case mix would be essential for definitive conclusions.
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