Hemangioma and vascular malformations in the field of oral and maxillofacial surgery is a pathology more often found in recent years in patients. The aim of this study was to evaluate the efficacy of the laser photocoagulation performed with a diode laser (Ga-Al-As) 980 nm wavelength in the treatment of vascular lesions which are located on the oral and maxillofacial areas, using color Doppler ultrasonography for evaluation of the results. We also made a comparison between laser therapy and sclerotherapy in order to establish treatment protocols and recommendations associated with this pathology. We conducted a controlled study on a group of 92 patients (38 male and 54 female patients, with an average age of 36 years) having low flow hemangioma and vascular malformations. Patients in this trial received one of the methods of treatment for vascular lesions such as hemangioma and vascular malformations: laser therapy or sclerotherapy. After laser therapy we have achieved a reduction in size of hemangioma and vascular malformations treated with such a procedure, and the aesthetic results were favorable. No reperfusion or recanalization of laser treated vascular lesions was observed after an average follow-up of 6 to 12 months. In case of sclerotherapy a reduction in the size of vascular lesions was also obtained. The 980 nm diode laser has been proved to be an effective tool in the treatment of hemangioma and vascular malformations in oral and maxillofacial area. Laser therapy in the treatment of vascular lesions was more effective than the sclerotherapy procedure.
The present study aimed to assess the efficacy and indications of surgical laser therapy in the treatment of oral
soft tissues benign tumors compared to classic surgery.
A controlled clinical study was conducted in a group of 93 patients presenting various forms of oral soft tissues
benign tumors. These patients were examined pre-and postoperatively and the oral benign tumors were measured linearly
and photographed. The surgery of laser-assisted biopsy excision of oral benign tumors was carried out using a diode
laser device of 980 nm. In patients who received surgical laser treatment, therapeutic doses of laser to biostimulate the
operated area were administered on the first day after the surgery. The interventions of conventional excision of oral soft
tissues benign tumors consisted in removing them using scalpel.
In patients who have received therapeutic doses of laser for biostimulation of the operated area, a faster healing
of wound surfaces and tumor bed was observed during the first days after surgery. Two weeks after the surgical
treatment, good healing without scarring or discomfort in the area of excision was documented.
Surgical treatment of oral soft tissues benign tumors with laser assisted postoperative therapy confirms the
benefits of this surgical procedure. A faster healing process of the excision area due to laser biostimulation of low
intensity has been observed in patients with surgical laser assisted treatment in the postoperative period.
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