Azevedo Luciane H, Migliari Dante
Clinician at the General Dentistry Care Center at the Main-Office Building for Social Assistance (SAS), and at the Laboratory of Laser in Dentistry (LELO), University of Sao Paulo, Sao Paulo, Brazil.
Department of Stomatology, Division of Oral Medicine Clinic, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil.
Open Dent J. 2017 May 16;11:242-246. doi: 10.2174/1874210601711010242. eCollection 2017.
Extensive vascular malformations (VM) pose difficulties for an effective management.
This article describes a very satisfactory result, both functional and aesthetic, following a management by the technique of photocoagulation using diode laser in an extensive VM lesion involving the lower lip and left buccal mucosa in a 25 year old male.
The patient reported that the lesion had been present since birth. The whole treatment, carried out under local anesthesia, spread over 6 months since as many as 4 sessions of laser, with a 1.5-month interval in each, were required. The resting period between sessions played an important part in treatment by allowing a time for the recovery of the patient and the shrinking of the lesion.
The patient had no complications during the laser sessions, and his postoperative period was uneventful. No recurrence has been seen after a 2.5-year follow-up.
广泛的血管畸形给有效治疗带来困难。
本文描述了一名25岁男性下唇和左颊黏膜广泛血管畸形病变,采用二极管激光光凝技术治疗后,在功能和美观方面都取得了非常令人满意的结果。
患者自述病变自出生就存在。整个治疗在局部麻醉下进行,历时6个月,因为需要多达4次激光治疗,每次间隔1.5个月。各次治疗之间的休息期对治疗起到了重要作用,它为患者恢复和病变缩小留出了时间。
患者在激光治疗期间未出现并发症,术后恢复顺利。经过2.5年随访未见复发。