二极管激光切除术后唇部化脓性肉芽肿迅速消退。
Posthaste outgrow of lip pyogenic granuloma after diode laser removal.
作者信息
Asnaashari Mohammad, Bigom-Taheri Jamile, Mehdipoor Maesoome, Bakhshi Mahin, Azari-Marhabi Saranaz
机构信息
Department of Endodontic, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Oral and Maxillofacial Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
J Lasers Med Sci. 2014 Spring;5(2):92-5.
INTRODUCTION
Pyogenic granuloma (PG) is one of the inflammatory hyperplasia seen in the oral cavity. It is a reactional response to minor trauma or chronic irritation and also might be related to hormonal changes. Rarely, PG occurs extragingivally.The most common treatment of PG is surgical excision but alternative approaches such as laser excision have also been proposed.
CASE REPORT
Herein, we present a case of lip pyogenic granuloma in a 15-year-old male whom had been under orthodontic treatment. The lesion was first excised with diode laser as a conservative method, but the lesion had immediately recurred and was excised with surgical blade as the traditional method. No recurrence or scarring was observed in 6 months follow-up.
RESULTS AND CONCLUSION
Although the use of laser as modern medicine offers a new tool for treatment of oral lesions, scalpel (blade) surgical excision still seems to be the successful treatment of choice in minimizing the recurrence of lesion especially when exacerbating factors such as hormonal imbalances exist.
引言
化脓性肉芽肿（PG）是口腔中可见的炎性增生之一。它是对轻微创伤或慢性刺激的一种反应性反应，也可能与激素变化有关。PG很少发生于龈外。PG最常见的治疗方法是手术切除，但也有人提出了激光切除等替代方法。
病例报告
在此，我们报告一例15岁接受正畸治疗男性的唇部化脓性肉芽肿病例。该病变首先采用二极管激光作为保守方法切除，但病变立即复发，随后采用传统方法用手术刀切除。在6个月的随访中未观察到复发或瘢痕形成。
结果与结论
尽管激光作为现代医学为口腔病变的治疗提供了一种新工具，但手术刀（刀片）手术切除似乎仍是使病变复发最小化的成功治疗选择，尤其是在存在激素失衡等加重因素的情况下。
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