Diode laser to treat small oral vascular malformations: A prospective case series study

Abstract

The use of diode laser application to treat small oral VMs and VLs was associated to shorter operating times and fewer postoperative complications with respect to the scapel surgery approach. More than one session may nevertheless be required if the anomaly is larger than 10 mm. Lasers Surg. Med. 50:111-116, 2018. © 2017 Wiley Periodicals, Inc.

Diode Laser Photocoagulation of Oral Venous Malformations in Patients on Anticoagulant Therapy Without Drug Discontinuation

“…The advantages of diode laser application in oral surgery are the lack of bleeding during cutting, reduction of postoperative edema, unnecessary stitches, fast mucosal healing [5][6][8][9]. For such reasons, the introduction of laser therapy in the last two decades represented a significant innovation in several oral surgery procedures, e.g., periodontal decontamination, gingival overgrowth, and surgical excisions of benign and malignant neoplasms [5,7,[12][13].…”

“…The latter are subclassified as follows: (a) simple; (b) combined, when two or more vascular malformation types are found in a single lesion; (c) anomalies of major vessels, also known as "channel type" or "truncal" VMs; anomalies of (d) origin, (e) course, (f) number, (g) length, (h) diameter; the last group also includes syndromic VMs associated with other anomalies. Diode lasers are generally accepted as effective medical devices to treat VMs in the head and neck as providing a targeted selectivity for oxyhemoglobin, induction of photothermolysis and erythrocyte microagglutination and vessel obliteration [5][6][7][8][9]. Anticoagulant therapy is usually modified or suspended in patients needing oral surgery procedures to prevent intra-and postoperative bleeding, especially for vascular lesions treatment.…”

Vascular Nd:YAG laser: a therapeutic alternative for large venous lakes of the oral mucosa

“…[2][3][4][5] Its photocoagulating effect allows therefore the specific targeting of the venous tissue, decreasing the possibility of relapse, and presents sufficient penetration for the treatment of deep-seated lesions. Several types of lasers have been used for the treatment of venous lakes of the lips and vascular malformations of the oral mucosa, including diode laser, 6 pulse-dye laser 7 and argon laser. 8 Although these seem effective for superficial and small lesions, the longer wavelength of the Nd:YAG laser allows better and quicker results in the treatment of deeper and thicker lesions 1 : a single session is often sufficient for the treatment of venous lakes of the lips and oral Letters to the Editor mucosa and provides stable results over time.…”

“…Recently, two studies have provided preliminary clinical data indicating that PDT using the Dermaris, below referred to as artificial white light PDT (AWL-PDT), could be an effective and nearly painless treatment for patients with AK lesions. 6,7 Here, we reported the clinical outcomes, in terms of efficacy and tolerability, of 38 male patients with AK lesions of the scalp, who were treated in daily practice with AWL-PDT. These patients with a minimum of 10 clinically diagnosed grade I or II AK lesions of the scalp…”

Diode laser treatment of venous lake of the lip

“…As showed in the video‐illustration (video ), the diode laser is used in absolutely safe way to promote forced dehydration with induced photocoagulation of the vascular malformation. The diode laser, with a wavelength of 980‐nm, is used by defocused irradiation mode with an output of 3 watt in continuous wave until the lesion undergoes a chromatic variation from dark purple to light gray . Postoperative course was uneventful; a partial regression is observable after 7 days, while the complete healing has been achieved after 20 days without unesthetic scar …”