The Use of Diode Laser for the Surgical Removal of Pyogenic Granuloma of the Dorsum of the Tongue: A Case Report

Abstract

Pyogenic granuloma (PG) is a common reactive oral lesion predominantly involving the gingiva and rarely occurring on the dorsum of the tongue. It can develop at any age but more commonly in the second decade with a female predilection. Numerous factors are associated with its development, and surgical removal is the standard treatment. Various surgical modalities have been used to excise it. Herein, we report a case of a female patient in her late 60s who presented with an exophytic lesion involving the dorsum of the tongue, which was excised using a 940 nm diode laser. In addition, it discusses the advantages of diode laser as a surgical modality and describes this lesion's clinical features and pathogenesis.

Laser Excisional Biopsy of Bleeding Tumor near Newly Erupted Tooth in an 11-Month-Old Patient under General Anesthesia

“…Conservative surgical removal of the lesion and elimination of the etiological factors has been introduced as a standard treatment option, as PG is not classified as a neoplastic lesion [ 10 ]. Various surgical modalities, including cryosurgery, cauterization with silver nitrate, sclerotherapy, injection of absolute ethanol, sodium tetradecyl sulfate and corticosteroids, as well as Nd:YAG, Er:YAG, diode, and CO2 lasers, have been presented [ 10 , 11 ]. For example, laser excision of PG in a female case involving the dorsum of the tongue using a 940 nm diode laser resulted in a short healing period with no postoperative pain, ulceration, or scarring [ 11 ].…”