title: Laser treatment of 13 benign oral vascular  lesions by three different surgical techniques.
abstract: OBJECTIVE
  Benign Oral Vascular Lesions (BOVLs) are a group of vascular diseases characterized by congenital, inflammatory or neoplastic vascular dilations clinically evidenced as more or less wide masses of commonly dark bluish color. If traumatized BOVLs are characterized by a great risk of hemorrhage and their treatment usually requires great caution to prevent massive bleeding. In the last decades lasers have dramatically changed the way of treatment of BOVLs permitting the application of even peculiar techniques that gave interesting advantages in their management reducing hemorrhage risks. The aim of this study was to evaluate the capabilities and disadvantages of three laser assisted techniques in the management of BOVLs.
  
  
  METHODS
  In this study 13 BOVLs were treated by three different laser techniques: the traditional excisional biopsy (EB), and two less invasive techniques, the transmucosal thermocoagulation (TMT) and the intralesional photocoagulation (ILP). Two different laser devices were adopted in the study: a KTP laser (DEKA, Florence, Italy, 532 nm) and a GaAlAs laser (Laser Innovation, Castelgandolfo, Italy, 808 nm) selected since their great effectiveness on hemoglobin.
  
  
  RESULTS
  In each case, lasers permitted safe treatments of BOVLs without hemorrhages, both during the intervention and in the post-operative period. The minimally invasive techniques (TMT and ILP) permitted even the safe resolution of big lesions without tissue loss.
  
  
  CONCLUSIONS
  Laser devices confirm to be the gold standard in BOVLs treatment, permitting even the introduction of minimal invasive surgery principles and reducing the risks of hemorrhage typical of these neoplasms. As usual in laser surgery, it is necessary a clear knowledge of the devices and of the laser-tissue interaction to optimize the results reducing risks and disadvantages.
authors: Sapienza University of Rome, Department of Oral and Maxillofacial Sciences, Rome, Italy.
authors: Umberto
authors: U
authors: Romeo
authors: Alessandro
authors: A
authors: Del Vecchio
authors: Claudia
authors: C
authors: Russo
authors: Gaspare
authors: G
authors: Palaia
authors: Gianfranco
authors: G
authors: Gaimari
authors: Josep
authors: J
authors: Arnabat-Dominguez
authors: Antoni-Jesus
authors: AJ
authors: España
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000150:complications / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods; D014652:Vascular Diseases / Q000150:complications / Q000601:surgery*; D055815:Young Adult
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