Harashima T, Hossain M, Walverde D A, Yamada Y, Matsumoto K
Department of Endodontics, Showa University School of Dentistry, Tokyo, Japan.
J Clin Laser Med Surg. 2001 Aug;19(4):189-91. doi: 10.1089/104454701316918952.
In this case report, the treatment of a buccal lymphangioma in a 9-year-old female was done using the Nd:YAG laser and the clinical outcome was evaluated.
The treatment of lymphangioma with the laser surgery using Nd:YAG and CO2 laser has become favorable due of a lack of postoperative pain and hemorrhage.
The lesion was treated with a pulsed Nd:YAG laser (d-lase 300, American Dental Laser, Detroit, MI). An exposure of 10 min each was performed at an interval of 10 days by the noncontact method with the energy density of 1 W, 10 Hz.
It was observed that there was a great reduction of the lesion and a considerable reduction of the external facial volume. As the excision of the lesion was avoided in our present study, there was no pain and hemorrhage. A remarkable reduction of the tumor size could be observed visually within the five laser exposures.
It can be concluded that if Nd:YAG laser therapy is used for reducing the tumor size as a primary treatment, the operation becomes easy and the recurrence may be less than with the conventional treatment, and an option of a surgical or laser excision could be reserved.
在本病例报告中，使用Nd:YAG激光对一名9岁女性的颊部淋巴管瘤进行治疗，并评估临床结果。
由于术后疼痛和出血较少，使用Nd:YAG和CO2激光进行激光手术治疗淋巴管瘤已成为一种不错的方法。
使用脉冲Nd:YAG激光（d-lase 300，美国牙科激光公司，底特律，密歇根州）治疗该病变。采用非接触式方法，以1 W、10 Hz的能量密度，每隔10天进行一次每次10分钟的照射。
观察到病变明显缩小，面部外部体积显著减小。由于在本研究中避免了病变切除，因此没有疼痛和出血。在五次激光照射内可肉眼观察到肿瘤大小显著减小。
可以得出结论，如果将Nd:YAG激光治疗作为主要治疗方法用于缩小肿瘤大小，手术会变得容易，且复发率可能低于传统治疗，并且可以保留手术切除或激光切除的选择。
