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二极管激光切除巨大外周性牙源性黏液瘤:1例罕见病例报告及文献综述

Diode laser on excision of giant peripheral odontogenic myxoma: a rare case report and literature review.

作者信息

Silva Diego Filipe Bezerra, Verheul Hannah Carmem Carlos Ribeiro Silva, Agripino Gustavo Gomes, Neto Polion Araújo, Alves Pollianna Muniz, de Melo Daniela Pita, de Castro Gomes Daliana Queiroga

机构信息

Post Graduate Program in Dentistry, State University of Paraíba, R. Baraúnas, 351, Bairro Universitário, Campina Grande, Paraiba, 58429-500, Brazil.

Federal University of Paraiba, Conj. Pres. Castelo Branco III, João Pessoa, Paraiba, 58033-455, Brazil.

出版信息

Lasers Med Sci. 2023 Jan 11;38(1):38. doi: 10.1007/s10103-023-03705-5.

Abstract

It was to report a rare case of peripheral odontogenic myxoma removed with high-power diode laser and to do an extensive review of studies of odontogenic cysts and tumors treated with high-power laser (HPL). This is a rare case of a 63-year-old male patient with a peripheral odontogenic myxoma measuring approximately 10 cm in the attached gingiva region of tooth 16 removed with a high-power diode laser (808 nm, 3 W, in continuous mode, under constant suction, with 400-µm optical fiber). A literature review was also carried out looking for articles that involved the use of HPL in the treatment of odontogenic cysts and tumors, without restriction of year or language. In the present case, there was no need for suturing, no postoperative discomfort, and minimal bleeding during the procedure. In a 12-month follow-up period, there were no signs of recurrence. Only two cases of intra-osseous odontogenic myxomas treated with HPL and 10 cases involving other odontogenic cysts and tumors were found. All studies showing HPL to be effective in treating these lesions. Despite the different types of lasers used and different parameters, it is observed that lasers are effective in the treatment of odontogenic lesions.

摘要

报告一例使用高功率二极管激光切除的外周性牙源性黏液瘤罕见病例,并对高功率激光(HPL)治疗牙源性囊肿和肿瘤的研究进行广泛综述。这是一例罕见的63岁男性患者,其外周性牙源性黏液瘤位于16号牙附着龈区域,大小约10 cm,使用高功率二极管激光(808 nm,3 W,连续模式,持续吸引,400-μm光纤)切除。还进行了文献综述,查找涉及使用HPL治疗牙源性囊肿和肿瘤的文章,不限年份和语言。在本病例中,手术过程中无需缝合,无术后不适,出血极少。在12个月的随访期内,无复发迹象。仅发现2例使用HPL治疗的骨内牙源性黏液瘤病例以及10例涉及其他牙源性囊肿和肿瘤的病例。所有研究均表明HPL对治疗这些病变有效。尽管使用的激光类型和参数不同,但观察到激光在治疗牙源性病变方面是有效的。

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