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二极管激光在外周型成釉细胞瘤切除术中的应用——病例报告

Application of Diode Laser in Excision of a Peripheral Ameloblastoma - A Case Report.

作者信息

Pakhira Soubhik, Raha Anirban, Mazumder Paramita

机构信息

Department of Oral and Maxillofacial Surgery, Dr. R. Ahmed Dental College and Hospital, West Bengal, India.

Department of Oral and Maxillofacial Surgery, B.P. Poddar Hospital and Medical Research Limited, Kolkata, West Bengal, India.

出版信息

Ann Maxillofac Surg. 2022 Jul-Dec;12(2):252-255. doi: 10.4103/ams.ams_139_22. Epub 2023 Jan 10.

DOI:10.4103/ams.ams_139_22
PMID:36874775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9976853/
Abstract

RATIONALE

Occurrence of peripheral ameloblastoma (PA) is rare. Excision of PA by diode laser is infrequent.

PATIENT CONCERNS

A 27-year-old female patient presented with an asymptomatic mass on the retromolar trigone for the past one year.

DIAGNOSIS

Incisional biopsy showed aggressive PA.

TREATMENT

The lesion was excised using a diode laser under local anaesthesia. The excised specimen revealed histopathological features of the acanthomatous variant of PA.

OUTCOMES

The patient was followed up for two years without any evidence of recurrence.

TAKE-AWAY LESSONS: Diode laser is an acceptable alternative to conventional scalpel excision for intraoral soft tissue lesions, whereas, in the case of PA, it proves to be no exception.

摘要

理论依据

外周型成釉细胞瘤(PA)的发生较为罕见。使用二极管激光切除PA的情况并不常见。

患者情况

一名27岁女性患者,在过去一年里,磨牙后三角区出现了一个无症状肿块。

诊断

切开活检显示为侵袭性PA。

治疗

在局部麻醉下,使用二极管激光切除病变。切除的标本显示出PA棘皮瘤型的组织病理学特征。

结果

对患者进行了两年的随访,没有任何复发迹象。

经验教训

对于口腔内软组织病变,二极管激光是传统手术刀切除的一种可接受的替代方法,而对于PA,事实证明也不例外。

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本文引用的文献

1
Comparison of Oral Mucosal Biopsies Done Using Scalpel and Diode Lasers: A Vivo Study.使用手术刀和二极管激光进行口腔黏膜活检的比较:一项活体研究。
J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S947-S954. doi: 10.4103/jpbs.jpbs_861_21. Epub 2022 Jul 13.
2
Recurrence of premalignant oral cavity and oropharynx lesions after pulsed diode laser treatment.脉冲二极管激光治疗后口腔和口咽癌前病变的复发。
Am J Otolaryngol. 2022 Sep-Oct;43(5):103556. doi: 10.1016/j.amjoto.2022.103556. Epub 2022 Aug 3.
3
Current practice in the management of peripheral ameloblastoma: a structured review.
当前外周性成釉细胞瘤管理的实践:一项结构化综述。
Br J Oral Maxillofac Surg. 2021 Jan;59(1):e1-e8. doi: 10.1016/j.bjoms.2020.08.084. Epub 2020 Aug 21.
4
The application of diode laser in the treatment of oral soft tissues lesions. A literature review.二极管激光在口腔软组织病变治疗中的应用。文献综述。
J Clin Exp Dent. 2017 Jul 1;9(7):e925-e928. doi: 10.4317/jced.53795. eCollection 2017 Jul.
5
Is the 810-nm diode laser the best choice in oral soft tissue therapy?810纳米二极管激光是口腔软组织治疗的最佳选择吗?
Eur J Dent. 2013 Apr;7(2):207-211. doi: 10.4103/1305-7456.110174.
6
An analysis of oral and maxillofacial pathology found in adults over a 30-year period.一项对30年间成年人口腔颌面病理学情况的分析。
J Oral Pathol Med. 2006 Aug;35(7):392-401. doi: 10.1111/j.1600-0714.2006.00451.x.
7
Peripheral ameloblastoma; report of a case.外周性成釉细胞瘤;一例报告。
Oral Surg Oral Med Oral Pathol. 1959 Jun;12(6):760-5. doi: 10.1016/0030-4220(59)90124-0.