A Comparative Evaluation of Surgical, Electrosurgery and Diode Laser in the Management of Maxillofacial Nevus

Bandral, Manjunatha Reddy; Gir, Priyadarshani J.; Japatti, Sharanbasppa R.; Bhatsange, Anuradha; Siddegowda, Chidambar Y; Hammannavar, Reshma

doi:10.1007/s12663-018-1081-8

Cited by 3 publications

(5 citation statements)

References 18 publications

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“…Also, treatment of the face lesions with cryotherapy may be injurious due to hazard of immediate bullae formation and delayed pigmentary disturbances 26 . Reddy Bandral et al 1 compared the wound healing and scar formation in patients with facial nevus who were treated with electrosurgery, diode laser, and surgical excision and concluded that all the three techniques did not show any significant difference at the end of 3 months. The mentioned result, which was obtained with a lower‐frequency electrosurgery unit, should be considered as promising for radio‐wave surgery due to less lateral thermal damage potential of the latter.…”

Section: Discussionmentioning

confidence: 99%

“…Humans’ demand to look attractive is increasing ever and it is quite usual for individuals to refer to a cosmetic surgery unit for the esthetic removal of nevi and various other benign lesions, including seborrheic keratosis, lentigo simplex, sebaceous hyperplasia, and syringoma 1,2 2,3 .…”

Section: Introductionmentioning

confidence: 99%

“…

Humans' demand to look attractive is increasing ever and it is quite usual for individuals to refer to a cosmetic surgery unit for the esthetic removal of nevi and various other benign lesions, including seborrheic keratosis, lentigo simplex, sebaceous hyperplasia, and syringoma. 1,2 There are numerous ways of treating benign lesions; nevertheless, electrosurgery, laser removal, liquid nitrogen, and surgical excision are the main techniques that have been used for this purpose. 2,3 Although choosing the appropriate treatment method is relatively easy and acceptable for papular or protuberant lesions, for small macular lesions that will be removed for cosmetic purposes it may not be so, because they are generally percepted as mild lesions by the patient and she/he usually has the anxiety of final disfigurement which may result esthetically worse than the original one.The main hurdles of cryotherapy and electrosurgery are hypopigmentation and scar depression due to excessive lateral cryodamage and lateral thermal damage, respectively.

…”

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confidence: 99%

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The use of radio‐wave surgery: An underestimated method for small hyperpigmented flat or macular lesions on face

Pekmezci

2022

J of Cosmetic Dermatology

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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The use of radio‐wave surgery: An underestimated method for small hyperpigmented flat or macular lesions on face

Pekmezci

2022

J of Cosmetic Dermatology

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“…3,6 Methods such as cautery, cryotherapy, and laser ablation provide less invasive alternatives, but can lead to hypopigmentation, hyperpigmentation, or recurrence. 4,6,14 Importantly, these options destroy tissue and prevent histologic evaluation. Despite the limitations, patients often elect to undergo one of these established techniques, sometimes presenting years later inquiring about scar minimization.…”

Section: Discussionmentioning

confidence: 99%

Irregularly Irregular Stellate Incisions for Selective Reduction of Benign Facial Lesions

Teplica

Cooney

Srock

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Cosmetic outcomes are among patients’ top concerns when discussing treatment options for facial nevi. Benign lesions of the face often enlarge with time, and many patients seek care to minimize the perceived deformity. Complete excision remains the frontline treatment for facial lesions, but a choice must be made between the deformity from the lesion itself and scar deformity incurred from its removal. Traditional elliptical excision results in a linear scar that is often conspicuous, while alternatives to surgical excision seek to minimize scarring but possess their own disadvantages. We report a new application for nevus reduction (subtotal or near-total excision) to diminish deformity from the lesion itself while minimizing scar visibility with a novel “irregularly irregular stellate incision” approach. Methods: Incisions are made in a stellate pattern with irregularly irregular borders circumscribed within the lesion. Therefore, the scar is restricted to the lesion surface, while a reduction in area and projection off the skin surface can be tailored to fit the patient’s wishes for any benign skin feature. Results: This technique has been employed with hundreds of facial lesions, with two representative cases shown. No significant complications have been observed and the method has been used on a wide variety of sizes and types of lesions. Conclusions: The technique presented meets the need for minimal scarring when reducing benign lesions of the face. The method is applicable to a wide range of presentations and can also function as a method to biopsy lesions, should there be concerns about pathology.

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“…Os participantes foram acompanhados por 3 meses, os resultados mostraram que não houve diferenças significativas entre os 3 grupos a longo prazo, mas a avaliação a curto prazo mostrou que a técnica cirúrgica foi superior às outras duas técnicas 20 .…”

Section: Discussionunclassified

Nevos Melanocíticos Adquiridos: uma Série de 4 Casos

et al. 2022

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Introdução: Os nevos melanocíticos adquiridos cutâneos são lesões comuns, começam a aparecer na infância, aumentando em número até a meia-idade, quando sua incidência tende a diminuir. Apresentam-se como pequenas manchas, pápulas ou nódulos, geralmente menores que 6 mm com pigmentação uniforme e bordas lisas, encontradas em locais expostos ao sol. Histopatologicamente, são classificados em nevos juncional, intradérmico ou intramucoso e composto. Objetivo: mostrar uma série de 4 casos clínicos, sendo três nevos melanocíticos intradérmicos e um nevo melanocítico composto, que afetaram três pacientes do sexo feminino e um do sexo masculino, esses buscaram atendimento visando a estética. Material e método: realizado o exame clínico, nos diferentes pacientes, optou-se por remoção cirúrgica completa das lesões, que foram submetidas a avaliação histopatológica para confirmação do diagnóstico clínico. Discussão: a maioria dos pacientes que remove nevos tem como queixa a estética. No entanto, deve ser levado em consideração se a presença destes é prejudicial à função ou se apresenta características de malignidade. Ao planejar a remoção de um nevo, deve-se avaliar as linhas de expressão do paciente, para um bom resultado estético pós-cirúrgico, considerando o tipo de excisão, sutura e cuidados pós-operatórios. Conclusão: Obtivemos resultados similares aos encontrados na literatura, sendo o melhor termo estético desta série de casos a associação da incisão em meia-lua, variação do formato elíptico, com a sutura intradérmica.

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A Comparative Evaluation of Surgical, Electrosurgery and Diode Laser in the Management of Maxillofacial Nevus

Cited by 3 publications

References 18 publications

The use of radio‐wave surgery: An underestimated method for small hyperpigmented flat or macular lesions on face

The use of radio‐wave surgery: An underestimated method for small hyperpigmented flat or macular lesions on face

Irregularly Irregular Stellate Incisions for Selective Reduction of Benign Facial Lesions

Nevos Melanocíticos Adquiridos: uma Série de 4 Casos

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