Intraoral flap depilation using the long-pulsed alexandrite laser

Conroy, F.J.; Mahaffey, P.J.

doi:10.1016/j.bjps.2008.03.051

Cited by 28 publications

(31 citation statements)

References 6 publications

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“…There was no indication for laser epilation for management of intraoral hairs in our series. Two negative factors for laser application in this situation are the need for multiple appointments and the fact that Laser handpieces are too bulky for intraoral usage especially in patients with limitation in mouth opening [18]. Kaune et al [19] in six hairy submental flaps used for intraoral reconstruction without postoperative radiotherapy concluded that laser is the first line treatment.…”

Section: Discussionmentioning

confidence: 99%

A Protocol for Management of the Hairs Problem in Oral Cavity Reconstruction by Submental Flap

Rahpeyma

Khajehahmadi

2016

J. Maxillofac. Oral Surg.

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Background Submental flap is a useful aid in maxillofacial reconstruction. For intraoral usage the hairs in male patients will create some problems. Materials and Methods In a retrospective study, patients in whom submental flap had been used for reconstruction of orofacial region between 2007 and 2013, in the Mashhad University, Ghaem Hospital, were included. The ways in which the problem of hairs was solved in male patients were evaluated. Results There were 42 patients in whom submental flap was used for orofacial reconstruction. Sixty percent were males. Three ways had been used for management of intraoral hairs: radiotherapy (9 patients), second surgery (2 patients) and flap de-epithelialization (13 patients). Conclusion Deepithelialized variant of submental flap is the best option when submental flap is used for oral cavity reconstruction in male patients. Flap thickness, age, race and postoperative radiotherapy can have strong influence on this strategy.

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Section: Discussionmentioning

confidence: 99%

A Protocol for Management of the Hairs Problem in Oral Cavity Reconstruction by Submental Flap

Rahpeyma

Khajehahmadi

2016

J. Maxillofac. Oral Surg.

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“…Options for intaoral hair removal may include trimming, electrolysis, mechanical epilation, and laser and light epilation [1,3,4].…”

Section: Discussionmentioning

confidence: 99%

“…Partial hair removal was achieved; yet reaching the deep oropharyngeal areas of the graft remained challenging. In the second case report, Conroy et al describes a case of successful depilation with the long-pulsed alexandrite laser [4]. Three courses of treatment at 6-week intervals resulted in permanent alopecia as measured at 6 months after completion of therapy.…”

Section: Discussionmentioning

confidence: 99%

Intensity-modulated radiation therapy for permanent alopecia of unwanted palatal hair

et al. 2012

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Options for unwanted intraoral hair removal associated with flap reconstruction may include trimming, electrolysis, mechanical epilation, and laser and light epilation. These methods provide temporary relief and often require repeated treatment, with laser and light epilation providing the most durable response. Therapeutic external beam radiation used in the treatment of cancer is known to cause temporary alopecia at low doses and permanent alopecia at higher doses. We report a case of a man who underwent oncologic resection for early stage retromolar trigone cancer. His surgical defect required reconstruction with a submental flap. Post-operatively, his flap grew a thick beard within his oral cavity that was extremely bothersome. Due to the location of the flap, trimming, electrolysis, laser, and light epilation were not recommended treatment options. He was referred to us for consideration of external beam radiation with the goal of permanent alopecia of his intraoral graft.Keywords Palatal hair . Radiation-induced alopecia . Hair removal . Oral cavity reconstruction Case reportA 71-year-old smoker presented with a pedicled mass on the left hard palate extending behind the maxillary gingiva, down the retromolar trigone to the posterior mandibular buccal sulcus, and onto the buccal surface. Biopsy confirmed a spindled squamous cell carcinoma. CT scan showed a 2.5×2.0 cm mass of the left posterior roof of the oral cavity. PET/CT scan confirmed uptake in the hard palate and left retromolar trigone with two hypermetabolic lymph nodes in level II. His past medical history included lung cancer treated with resection and adjuvant radiation 7 years prior, chronic obstructive pulmonary disease with oxygen dependence at night, and recurrent pneumonias. He had a 100+ pack-year smoking history and quit at the time of his diagnosis.Oncologic resection was performed, with pathology revealing two separate primaries. The first lesion was a 3.8-cm spindle cell squamous carcinoma of the hard palate with a depth of invasion of 2 mm, no bone involvement, no perineural invasion, and negative margins. The diameter of the pedicle of the mass was smaller than maximum diameter. The second lesion was a 1.5 cm moderately differentiated squamous cell carcinoma of the retromolar trigone with a depth of invasion of 2 mm, no bone invasion, and negative margins. Due to the proximity of the presenting lesions, they were resected in a single en bloc specimen. The ipsilateral neck was dissected and pathologically negative (0/14 lymph nodes). The resulting

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“…3,6 The Alexandrite laser has offered good results. 4 Until now, the laser application for hairy flap is limited mainly in the oral cavity due to accessibility. For cases of hypopharynx and esophagus, general anesthesia was necessary for hair removal.…”

Section: Volume 1 Number 1 December 2012mentioning

confidence: 99%

“…1 There are several reports that laser hair removal following reconstructive surgery in oral cavity, pharynx, and esophagus. [2][3][4][5][6] However, there is no report for the use of laser treatment for postoperative unwanted hair of the larynx in our best knowledge. We report a case of significant laryngeal hair growth which was managed with diode laser.…”

Section: Introductionmentioning

confidence: 99%

Laser Epilation for Unwanted Hair in the Larynx

2012

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Variable skin flaps are used in reconstruction of defects following surgical resection of larynx cancers. Skin taken from distant sites often contains hair-bearing skin, which can create a problem following reconstruction. In particular, patients with hairy laryngeal flaps often complain of irritation, voice change, and trapping of food. We report on the removal of hair from skin flap of the larynx using a diode laser.

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Intraoral flap depilation using the long-pulsed alexandrite laser

Cited by 28 publications

References 6 publications

A Protocol for Management of the Hairs Problem in Oral Cavity Reconstruction by Submental Flap

A Protocol for Management of the Hairs Problem in Oral Cavity Reconstruction by Submental Flap

Intensity-modulated radiation therapy for permanent alopecia of unwanted palatal hair

Laser Epilation for Unwanted Hair in the Larynx

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