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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© 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: (https://creativecommons.org/licenses/by/4.0/legalcode). 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: damiglia@usp.br


Abstract

Objective:

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

Introduction:

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.

Conclusion:

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.