Management of an Extensive Vascular Lesion on the Lip by Photocoagulation with High-Intensity Diode Laser

Luciane H. Azevedo1, Dante Migliari2, *
1 Clinician at the General Dentistry Care Center at the Main-Office Building for Social Assistance (SAS), and at the Laboratory of Laser in Dentistry (LELO), University of Sao Paulo, Sao Paulo, Brazil
2 Department of Stomatology, Division of Oral Medicine Clinic, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil.

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Creative Commons License
© 2017 Azevedo et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Departamento de Estomatologia., Faculdade de Odontologia, Universidade de São Paulo, Av: Prof. Lineu Prestes, 2227, São Paulo, SP, Brazil 05508-000, Tel: +55 11 30917901, E-mail:



Extensive vascular malformations (VM) pose difficulties for an effective management.


This article describes a very satisfactory result, both functional and aesthetic, following a management by the technique of photocoagulation using diode laser in an extensive VM lesion involving the lower lip and left buccal mucosa in a 25 year old male.

Case report:

The patient reported that the lesion had been present since birth. The whole treatment, carried out under local anesthesia, spread over 6 months since as many as 4 sessions of laser, with a 1.5-month interval in each, were required. The resting period between sessions played an important part in treatment by allowing a time for the recovery of the patient and the shrinking of the lesion.


The patient had no complications during the laser sessions, and his postoperative period was uneventful. No recurrence has been seen after a 2.5-year follow-up.

Keywords: Vascular malformation, Congenital lip enlargement, Photocoagulation, Diode laser.