Sarfi Dounia, Adnane Salma, Haitami Sofia, Ben Yahya Ihsane
Oral Surgery, Dental Consultation and Treatment Center, Ibn Rochd University Hospital Center, Casablanca, Morocco, BP: 9157.
Oral Surgery, Dental Consultation and Treatment Center, Ibn Rochd University Hospital Center, Casablanca, Morocco, BP: 9157.
Int J Surg Case Rep. 2021 Nov;88:106436. doi: 10.1016/j.ijscr.2021.106436. Epub 2021 Sep 28.
Vascular anomalies are subdivided into vascular tumors (hemangiomas) and vascular malformations. They are frequently located in the head, neck, and oral cavity. They are common complaints reported in patients seeking treatment for aesthetic or functional issues. However, recent advances in the diagnosis and management of these lesions are improving treatment strategies. This review provides both basic and up-to-date knowledge on the most common vascular anomalies encountered by practitioners. Due to the wide variability of treatment options which often generates debate, this paper work aims to provide a comprehensive approach of these lesions based upon current concepts and practical clinical experience. Our article is about 4 patients who had consulted for one or several purplish, elevated, well limited and soft lesion. These lesions was not painful, but worrying for patients. Therapies for VAs continue to generate a dilemma for oral surgeons. Several treatment options were reported, including conventional surgery with or without adjunctive preoperative embolization, and drug therapies, such corticosteroids, intralesional injection of corticosteroids and intralesional injections of sclerosing agents. All of these therapeutic approaches carry a high risk of severe side effects such as scars, pain, and bleeding [7]. Nowadays, advances in the use of lasers have allowed doctors an effective treatment with minimal side effects [9]. All our cases described in this article were done by Pr Haitami, using the 980 nm Diode laser, and a complete healing was observed in about 8 months at the most. The laser is therefore a great help in the management of this type of lesion.
血管异常可细分为血管肿瘤（血管瘤）和血管畸形。它们常位于头、颈和口腔。这些是患者因美学或功能问题寻求治疗时常见的主诉。然而，这些病变诊断和管理方面的最新进展正在改善治疗策略。本综述提供了从业者遇到的最常见血管异常的基础知识和最新知识。由于治疗选择差异很大，常常引发争论，本文旨在基于当前概念和实际临床经验，提供对这些病变的全面处理方法。我们的文章讲述了4例因一个或多个紫色、隆起、边界清晰且质地柔软的病变前来咨询的患者。这些病变不痛，但令患者担忧。血管异常的治疗仍然给口腔外科医生带来两难困境。报告了几种治疗选择，包括有或没有辅助术前栓塞的传统手术以及药物治疗，如皮质类固醇、病灶内注射皮质类固醇和病灶内注射硬化剂。所有这些治疗方法都有严重副作用的高风险，如疤痕、疼痛和出血[7]。如今，激光使用方面的进展使医生能够进行副作用最小的有效治疗[9]。本文所述的我们所有病例均由海塔米医生使用980纳米二极管激光完成，最多约8个月观察到完全愈合。因此，激光在这类病变的管理中非常有帮助。
