Role of KTP-532 laser in management of oral submucous fibrosis

Abstract

This preliminary study indicated that adequate release of oral submucous fibrosis can be achieved by using a KTP-532 laser release procedure, with minimal morbidity and satisfactory results. These promising results should encourage more widespread use of this technique in the management of this condition.

A systematic review of medical interventions for oral submucous fibrosis and future research opportunities

“…Clinical research methodology has evolved rapidly in some parts of the world, yet elsewhere there is neither the experience, nor the necessary infrastructure, (Lai et al, 1995), (Cox and Zoellner, 2009) Splints or other devices (including postsurgery) (Patil and Parkhedkar, 2009), (Nayak et al, 2009), (Le et al, 1996), (Huang et al, 2008) Microwave diathermy (Gupta et al, 1980), (Gupta et al, 1992) Oral submucous fibrosis, medical management AR Kerr et al (Borle and Borle, 1991), (Kumar et al, 1991) Vitamin A and vitamin B complex (Khanna and Andrade, 1995) Vitamin B complex (Lai et al, 1995) Vitamin B complex (with iodine injection) (Gupta et al, 1992) Vitamins A, B complex, C, D and E plus minerals iron, copper, zinc, magnesium and others (Maher et al, 1997) Ferrous fumarate (Borle and Borle, 1991) Zinc (Kumar et al, 1991) Antioxidants (b-carotene, vitamins A, C and E, zinc, copper, manganese and selenium) (Jirge et al, 2008) Glucosidorum tripterygii totorum, vitamins A and E, nicotinic acid (Liu et al, 1999) Tea pigment, vitamins A, B complex, D and E (Li and Tang, 1998) Lycopene (Kumar et al, 2007) Placental extract (Kakar et al, 1985), (Gupta and Sharma, 1988), …”

Surgical Management of Trismus Due to Oral Submucous Fibrosis Using Diode Laser

“…Other predisposing factors Medical management with local injections of corticosteroids and hyaluronidase, along with systemic ingestion of multivitamins, anti-oxidants apparently has been known to decrease the burning sensation. Local physiotherapy, in the form of hot rinses or selective deep heating therapies (such as short wave diathermy), does not produce any beneficial effects [5,9]. Use of intra-lesional g interferon, an antifibrotic cytokine, has been shown to reduce the burning sensation and to improve mouth-opening [5].…”

The Efficacy of ErCr:YSGG Laser Fibrotomy in Management of Moderate Oral Submucous Fibrosis: A Preliminary Study

“…The only drawback is the high cost of the equipment and surgical tips. The current study was compared to other studies that have used lasers in the surgical management of OSMF (Table 4) [12][13][14][15]. All the previous studies have used lasers in surgical management of OSMF (Group III mostly) under general anesthesia whereas we have used ErCr:YSGG laser in the same group of OSMF under local anesthesia.…”

“…Secondary healing seen after simple excision of fibrous band leads to further fibrosis, disability and relapse. Electro surgical techniques, though associated with reduced bleeding ends up in deep tissue damage, which in turn leads to increased post-operative fibrosis [12][13][14][15]. Aggressive surgical interventions are usually reserved for advanced disease like Group IV OSMF where a sufficient mouth opening can only be achieved by complete release of fibrotic bands and reconstruction of resultant defect with split thickness skin graft, buccal fat pad, micro-vascular free radial forearm flap, tongue flap, or naso-labial flap [16].…”

“…Recently different types of lasers (Diode, KTP-532) have been used for surgical management of trismus especially in Group II, III and in some Group IV OSMF cases. They have used the lasers for fibrotomy only without reconstruction with local flaps with promising results [12][13][14][15]. Most of the studies with lasers in OSMF have been done under general anesthesia which not only increases the risk for the patient but is also time consuming, expensive and requires post-operative hospitalization for recovery.…”