Minimal invasive method to treat hemangiomas of the oral cavity with a CO2 laser

Ester Maria Danielli Nicola; Jorge Humberto Nicola; Reinaldo Jordao Gusmao; Adriana Azevedo Coutinho; Nilceu P. Cassitas

doi:10.1117/12.273588

15 May 1997 Minimal invasive method to treat hemangiomas of the oral cavity with a CO₂ laser

Ester Maria Danielli Nicola, Jorge Humberto Nicola, Reinaldo Jordao Gusmao, Adriana Azevedo Coutinho, Nilceu P. Cassitas

Author Affiliations +

Proceedings Volume 2973, Lasers in Dentistry III; (1997) https://doi.org/10.1117/12.273588
Event: BiOS '97, Part of Photonics West, 1997, San Jose, CA, United States

Abstract

During the last six years we have developed a new CO₂ laser technique for the treatment of symptomatic oral cavity hemangioma. Our new technique, named 'laser encircling technique', has especially succeeded during hemangioma buccal maxillary surgeries. The treatment consisted in the application of a line of points of CO₂ laser circling the lesion. Depending on the position and size of the lesion, we used from 0.4 to 4.0 Joules/mm² laser energy density per pulse, causing reduction in the size of the lesion throughout the sclerosis of nutritional vessels which led to reduction in size, volume and color of the hemangiomas with no significant bleeding or inflammatory reaction. In this work forty male and female patients, twelve to fifty years old, presenting medium to small size hemangiomas situated in different sites of the oral cavity such as the tongue, mouth vestibule, pharynx, tonsil area and lips were treated by the procedure described above. The number of laser applications was defined by the peculiarities of each case, varying form 3 to 6 sessions at 4 week intervals, always under local or topic anesthesia. The patients complained about minimal posit operative discomfort and had good cicatrix evolution. The good results achieved by this technique lead to the conclusion that CO₂ laser for these types of hemangioma is an efficient and very secure method of treatment. An important aspect of our technique is the fact that using relatively low laser power we do not perform real surgery but a less aggressive alternative of treatment.

Citation Download Citation

Ester Maria Danielli Nicola, Jorge Humberto Nicola, Reinaldo Jordao Gusmao, Adriana Azevedo Coutinho, and Nilceu P. Cassitas "Minimal invasive method to treat hemangiomas of the oral cavity with a CO₂ laser", Proc. SPIE 2973, Lasers in Dentistry III, (15 May 1997); https://doi.org/10.1117/12.273588

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