940纳米二极管激光辅助切除新生儿外周骨化性纤维瘤
940 nm Diode Laser assisted excision of Peripheral Ossifying Fibroma in a neonate.
作者信息
Tewari Nitesh, Mathur Vijay Prakash, Mridha Asit, Bansal Kalpana, Sardana Divesh
机构信息
Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences.
Department of Pathology, All India Institute of Medical Sciences.
出版信息
Laser Ther. 2017 Mar 31;26(1):53-57. doi: 10.5978/islsm.17-CR-01.
BACKGROUND
Peripheral ossifying fibroma associated with neonatal tooth extraction is a rare, benign reactive lesion, but its nature and location often scares the patient & parents for possibility of neoplasm. A high recurrence rate makes its histopathological examination and long term follow up important.
CASE REPORT
A 2 months old boy presented with enlarging soft tissue growth on the anterior mandibular ridge. The history revealed extraction of two neonatal teeth at 2 weeks of age. Lesion was excised using 940 nm diode laser and histopathological examination revealed hypercellularity and prominent dystrophic calcification, confirming it to be Peripheral Ossifying Fibroma. There was no recurrence after 18 months follow up.
CONCLUSION
Paediatric dentists should be aware of possible outcomes of natal and neonatal teeth extraction and histopathological features of soft tissue lesions in neonates and infants. This report also highlights that 940 nm diode laser can be safely used for minor oral soft tissue surgeries in neonates and infants.
背景
与新生儿拔牙相关的外周骨化性纤维瘤是一种罕见的良性反应性病变，但其性质和位置常常使患者及家长因肿瘤可能性而感到恐惧。高复发率使得对其进行组织病理学检查和长期随访很重要。
病例报告
一名2个月大的男婴，下颌前牙区软组织肿物逐渐增大。病史显示其在2周龄时拔除了两颗新生儿牙。使用940纳米二极管激光切除病变，组织病理学检查显示细胞增多和明显的营养不良性钙化，确诊为外周骨化性纤维瘤。随访18个月后无复发。
结论
儿科牙医应了解新生儿和婴儿期牙齿拔除的可能后果以及新生儿和婴儿软组织病变的组织病理学特征。本报告还强调940纳米二极管激光可安全用于新生儿和婴儿的小型口腔软组织手术。
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