Success Rate of Benign Oral Squamous Papilloma Treatments After Different Surgical Protocols (Conventional, Nd:YAG, CO<sub>2</sub>and Diode 980 nm Lasers): A 34-Year Retrospective Study

Nammour, Samir; Mobadder, Marwan El; Namour, Amaury; Namour, Mélanie; Romeo, Umberto; España-Tost, Antonio Jesús; Arnabat-Domínguez, Josep; Grzech‐Leśniak, Kinga; Zeinoun, Toni; Vescovi, Paolo

doi:10.1089/photob.2020.4916

Cited by 4 publications

(4 citation statements)

References 56 publications

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“…30 Another study found that when the excision of essentially normal marginal mucosa encircling the tumor is reduced, the recurrence of Oral Squamous Papillomas is markedly increased. 31 In a study, CO2 and Er,Cr:YSSG lasers improved the quality of scars after 4 weeks, had superior cosmetic results, and did not need a second treatment session compared to diode and Nd:YAG laser groups. 32 Gardenal et al reported 5% bleeding and 1% hematomas.…”

Section: Results Of Individual Studies Oral Potentially Malignant Dis...mentioning

confidence: 98%

Evaluation of the Effectiveness of the Carbon Dioxide (CO2) Laser in Minor Oral Surgery: A Systematic Review

Asnaashari,

Behnam Roudsari,

Shirmardi

2023

J Lasers Med Sci

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Introduction: Lasers in oral surgery have been extensively studied in recent years. Laser treatment is now a well-known technology that is frequently employed on oral soft tissues. The carbon dioxide (CO2) laser was one of the first soft tissue removal lasers. Because of the strong affinity of the CO2 laser to water, it is best used for removing, vaporizing, and coagulating these tissues. In minor oral surgery, CO2 laser therapy has shown advantages. Therefore, this study examined the CO2 laser use in minor oral soft tissue surgery. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards were followed in this study. A question for research encompassing the inclusion criteria for the participants, intervention, comparison, outcome, and study design (PICOS) was formulated. The search queries were entered into the PubMed/Medline, Scopus, and Embase databases. Consideration was given to publications published between January 1, 2018 and March 15, 2023. Results: The research included 37 studies after narrowing search results, eliminating duplicate titles, and conducting an eligibility review (three animal studies, seven case reports, three case series, and twenty-four clinical studies). CO2 lasers alone or in combination with other therapies successfully treated oral potentially malignant disorders (OPMDs), oral tumors, oral fibrous-epithelial lesions, gingival melanin hyperpigmentation, pyogenic granuloma, socket preservation, mucocele, high labial frenulum attachment, and so on. CO2 lasers reduced intra- and postoperative complications and adverse effects, improved postoperative functional results, ablated tissues with precision, and minimized disease recurrence and malignant transformation. Conclusion: Our study found that the CO2 laser in oral minor surgeries is successful, but further randomized clinical trials and multicenter studies are recommended to compare CO2 laser surgery to other treatments.

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Section: Results Of Individual Studies Oral Potentially Malignant Dis...mentioning

confidence: 98%

Evaluation of the Effectiveness of the Carbon Dioxide (CO2) Laser in Minor Oral Surgery: A Systematic Review

Asnaashari,

Behnam Roudsari,

Shirmardi

2023

J Lasers Med Sci

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“…Scalpel excision, as performed in the presented case, is the most commonly used modality to excise these lesions. Cryotherapy and laser surgery have also been shown to be effective in treating such lesions [ 20 ]. Laser management offers multiple advantages including less intraoperative bleeding, minimal damage to adjacent tissue, delayed acute inflammatory reaction, and reduced myofibroblast activity, leading to reduced wound contraction and scarring [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Oral Squamous Papilloma Mimicking Oral Verrucous Leukoplakia

Tebcherany¹,

Grandhe²,

Khocht³

2022

Cureus

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The human papillomavirus (HPV) is a non-enveloped DNA virus that causes a variety of skin and mucosal lesions. This report reviews a likely HPV-related lesion of oral squamous cell papilloma clinically mimicking oral verrucous leukoplakia. A 71-year-old white male presented with a raised white lesion on the palatal mucosa. It felt hard on palpation and had a sessile fixed base, and a rough verrucous surface. The lesion was fully excised. Histopathology showed short, thin, fingerlike projections lined by stratified squamous epithelium with thin central connective tissue cores. The epithelial superficial layers demonstrated focal koilocytotic changes suggestive of an HPV infection. High-risk HPV-related lesions have the potential to turn malignant. Early diagnosis and management are critical to preventing serious complications.

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“…A complete excision of lesions and HPV-infected cells is believed to be an important factor in preventing recurrence. 16 Nammour et al 17 recently reported that when a gross normal mucosa (≥3 mm) around the oral squamous papilloma was included in the resections, the lowest recurrence rate was observed. The good hemostasis effect of the KTP laser allows for a good surgical field of vision to be maintained during the operation, allowing the lesion boundary to be clearly distinguished and ensuring a safe boundary of 1-2 mm when the lesion is removed.…”

Section: Discussionmentioning

confidence: 99%

“…However, no patient experienced recurrence, and there was no significant difference in recurrence between the use of laser and scalpel in our study, which is consistent with previous reports. 17,18 To determine whether or not the two treatments would cause a difference in recurrence rates, larger sample sizes and longer follow-up times were required.…”

Section: Discussionmentioning

confidence: 99%

Comparative Efficacy of the KTP Laser and Cold Steel in Office-Based Surgery for Oropharyngeal Papilloma

Zhao

Zhen

et al. 2021

Ear Nose Throat J

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Objective: This study aims to compare the efficacy of the potassium-titanyl-phosphate (KTP) laser and cold steel surgery in treating oropharyngeal papilloma. Methods: Between 2017 and 2020, we enrolled 242 patients with oropharyngeal papilloma who were treated with either the KTP laser (n = 160) or cold steel surgery (n = 82). Patient charts were reviewed for demographic data (age and gender), pathology, anatomical location of lesions, operative duration, pain rating, residual disease, and recurrence. Results: The oropharyngeal papillomas were successfully removed in all patients, except one with a significant pharyngeal reflex. There was no significant difference in the average time for lesion resection between KTP laser and cold steel group (18.11 ± 13.96 s vs 19.43 ± 16.91 s, P > .05). However, all patients who underwent cold steel surgery experienced bleeding during the operation and required postoperative observation (about 20 min), making the total procedure time longer than that of the KTP laser procedure, which did not cause any intraoperative bleeding or require postoperative observation. After KTP laser treatment, the pain rating was .49 ± .98, whereas after cold steel surgery, it was .74 ± 1.12 ( P = .058). Twenty-five samples were sent for human papillomavirus (HPV) testing, and one tested positive for both HPV 6 and 11 strains, while another tested positive for HPV 16. No residual disease or recurrence was observed at the treatment sites after a long period of follow-up (M = 15.35 ± 10.79 mo; range = 6-39 mo). Conclusion: The KTP laser provided a better hemostasis effect and a good surgical field of vision during the operation, allowing the surgeon to complete the procedure in less time. No significant difference in terms of pain rating, incision recovery, and postoperative recurrence between the KTP laser treatment and cold steel surgery.

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Success Rate of Benign Oral Squamous Papilloma Treatments After Different Surgical Protocols (Conventional, Nd:YAG, CO₂and Diode 980 nm Lasers): A 34-Year Retrospective Study

Cited by 4 publications

References 56 publications

Evaluation of the Effectiveness of the Carbon Dioxide (CO2) Laser in Minor Oral Surgery: A Systematic Review

Evaluation of the Effectiveness of the Carbon Dioxide (CO2) Laser in Minor Oral Surgery: A Systematic Review

Oral Squamous Papilloma Mimicking Oral Verrucous Leukoplakia

Comparative Efficacy of the KTP Laser and Cold Steel in Office-Based Surgery for Oropharyngeal Papilloma

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Success Rate of Benign Oral Squamous Papilloma Treatments After Different Surgical Protocols (Conventional, Nd:YAG, CO2and Diode 980 nm Lasers): A 34-Year Retrospective Study

Cited by 4 publications

References 56 publications

Evaluation of the Effectiveness of the Carbon Dioxide (CO2) Laser in Minor Oral Surgery: A Systematic Review

Evaluation of the Effectiveness of the Carbon Dioxide (CO2) Laser in Minor Oral Surgery: A Systematic Review

Oral Squamous Papilloma Mimicking Oral Verrucous Leukoplakia

Comparative Efficacy of the KTP Laser and Cold Steel in Office-Based Surgery for Oropharyngeal Papilloma

Contact Info

Product

Resources

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Success Rate of Benign Oral Squamous Papilloma Treatments After Different Surgical Protocols (Conventional, Nd:YAG, CO₂and Diode 980 nm Lasers): A 34-Year Retrospective Study