Malformaciones venosas orofaciales de bajo flujo: esclerosis endoluminal con láser de diodo

Torres, M. Puche; Mateo, Mariano Marqués; Alba, L. Miragall; Gimilio, M.E. Iglesias; Hermosa, Gonzalo Pérez-Herrezuelo; Puchades, Raquel Villar; Guijarro‐Martínez, Raquel; García, I. Solís; Gil, J.

doi:10.4321/s1130-05582010000200002

Cited by 2 publications

(9 citation statements)

References 12 publications

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“…Vascular malformations, on the other hand, are usually diagnosed at birth, grow with the individual, and show no tendency to regress on their own(1). Most authors report a relatively high incidence of OFVM (3). 50% of all benign lesions appear on the head and neck area(4), causing discomfort to the patient by its functional and aesthetic impact.…”

Section: Discussionmentioning

confidence: 99%

“…In the case of small VM control may be an option, although there is controversy about the need of treatment (7). Surgical resection is complicated, and is associated with an increased risk of bleeding, difficulty of anatomical dissection, scarring sequelae, deformity and a high rate of recurrence (3). Cryosurgery can be a treatment option for early stages of some small, superficial vascular lesions, but carries a risk of atrophy, hypopigmentation and scarring in the skin of treated area (8).…”

Section: Discussionmentioning

confidence: 99%

“…The mechanism of action is based on the damage of the endothelium, with a consequent inflammation process and the subsequent associated fibrosis. Despite this, and though is a highly protocolized technique, with a 70-90% success rate when performed by an experienced team, sequelae and complications have been described, such as cutaneous or mucosal necrosis, and peripheral nerve injury (3). …”

Section: Discussionmentioning

confidence: 99%

“…Moreover, lesions can be differentiated according to the vascular flow, either low or high flow. Approximately 50% of these vascular lesions are located at the head and neck region (3). …”

Section: Introductionmentioning

confidence: 99%

“…Coagulation properties of the diode laser are particularly effective and beneficial in the treatment of VM (3). The diode laser light turns into heat because of its absorption by the hemoglobin.…”

Section: Introductionmentioning

confidence: 99%

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Endoluminal sclerosis with diode laser in the treatment of orofacial venous malformations

Álvarez-Camino¹,

España-Tost²,

Gay‐Escoda³

2013

Med Oral

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Introduction: The appearance of vascular anomalies in the orofacial area is a common condition, which represents about 50% of these malformations. Traditional treatment approach, such as surgery and chemical sclerosis has been given way to a few less-invasive options, as the use of the 810nm diode laser to induce the sclerosis of the venous malformation by intralesional photocoagulation. Objectives: The objective of this study was to determine the efficacy of the diode laser in the intralesional treatment of the orofacial venous malformations (OFVM), describing the recommended surgical approach, as well as to report the main associated complications. Patients and Methods: 10 cases of OFVM, diagnosed and treated at the Oral Surgery Department of the Dental Clinic of the University of Barcelona, between January, 2009 and April, 2011. Every case was treated under local anesthesia, performing at least one intralesional session of diode laser, applying an 1W active optic fiber, in continuous mode, inserted into the interior of the lesion through an intramuscular needle, from the deepest portion to the surface of the lesion. Postoperative medication was indicated and follow-up visits were perform during a period of at least 6 months. Results: Of a total of 10 cases of OFVM, mean age of 25.4 years, 8 required just a single session with intralesional laser diode, before the clinical verification of a total reduction of size of the lesion. In 2 of these cases, were needed at least 2 sessions of intralesional photocoagulation to reach a satisfactory cosmetic result. No complications of any kind occurred. After a follow-up period of at least 6 months only a case of recurrence was described. Discussion and Conclusions: The advantages associated to the use of non-invasive techniques in the treatment of OVM, along with the success rate and low number of relapses, shows the use of the diode laser as a therapy to be considered in the treatment of these lesions. A higher case mix would be essential for definitive conclusions. Key words:Diode laser, hemangioma, orofacial venous malformation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Moreover, lesions can be differentiated according to the vascular flow, either low or high flow. Approximately 50% of these vascular lesions are located at the head and neck region (3). …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Endoluminal sclerosis with diode laser in the treatment of orofacial venous malformations

Álvarez-Camino¹,

España-Tost²,

Gay‐Escoda³

2013

Med Oral

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Intralesional Injection of Ethanolamine Oleate With or Without Local Anaesthetic Agent to Assess Postoperative Pain in Oral Venous Malformations (A Randomized Controlled Clinical Trial)

Mashaly,

El Mahallawy,

Amer

2023

Alexandria Dental Journal

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INTRODUCTION:Sclerotherapy is an established treatment modality for oral vascular anomalies. A sclerosing agent such as Ethanolamine Oleate has been widely used for oral vascular malformation, especially low-flow venous lesions, however, pain is one of the most common postoperative complications. Therefore, Ethanolamine Oleate with an anesthetic agent may help in reducing postoperative pain in cases of oral venous malformation. AIM OF THE STUDY:To compare the effect of Ethanolamine Oleate as a sclerosing agent for oral venous malformation with and without an anesthetic agent in reducing postoperative pain and resolution of the lesion. MATERIALS AND METHODS: 16 patients with oral venous malformation were recruited and randomly allocated into two equal groups. Sclerotherapy with Ethanolamine Oleate was performed for all patients in Group A (Control Group) eight patients were injected with Ethanolamine Oleate alone and for Group B (Study Group) eight patients were injected with Ethanolamine Oleate mixed with Lidocaine. RESULTS: There was a statistically significant decrease between the two studied groups. Using the VAS scale, showed a significant decrease in post-operative pain reaching an (87.5%) success rate in Group B, especially two days postoperatively. CONCLUSION: This study confirmed the positive effect of intralesional injection of EO and Lidocaine in OVMs regarding postoperative pain and resolution of the lesion.

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Malformaciones venosas orofaciales de bajo flujo: esclerosis endoluminal con láser de diodo

Cited by 2 publications

References 12 publications

Endoluminal sclerosis with diode laser in the treatment of orofacial venous malformations

Endoluminal sclerosis with diode laser in the treatment of orofacial venous malformations

Intralesional Injection of Ethanolamine Oleate With or Without Local Anaesthetic Agent to Assess Postoperative Pain in Oral Venous Malformations (A Randomized Controlled Clinical Trial)

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