13th World Congress for Laser Dentistry

26-28, April 2012

Barcelona, Spain

Meeting Abstract

Sponsors: World Federation for Laser Dentistry

- Oral Presentation 62

TITLE: Intralesional laser treatment of voluminous venous malformation in the oral cavity.

AUTHORS: Miyazaki H, Ohshiro T, Watanabe H, Kato J, Makiguchi T, Kim M, Soda T, Ogawa M, Yokoo S.

Gunma University Graduate School of Medicine; Ohshiro Clinic; Graduate School, Tokyo Medical and Dental University

SOURCE: Med Oral Patol Oral Cir Bucal. 2012 May 1;17(Supplement1):S62.

* doi:10.4317/medoral.17643561

http://dx.doi.org/10.4317/medoral.17643561

Abstract

Introduction: Vascular lesions, including hemangiomas and vascular malformations, are common benign tumors, and more than 50% originate from blood vessels or vascular structures and are located in the head and neck region. Many alternative treatment modalities for vascular lesions have been advocated. However, treatment of voluminous vascular lesions remains an unresolved problem. In laser treatment, there are many cases in which submucosally located vascular lesion remnants cannot be reached by noncontact superficial laser application.

Objective: To diminish these remnants we used intrale-sional photocoagulation (ILP) in treatment of oral vascular lesions, because this approach is effective in treatment of voluminous vascular lesions of the skin.

Matherial and methods: Twelve cases of voluminous venous malformation in the oral cavity were treated by ILP using a KTP laser, Nd:YAG laser, or Diode laser. In some cases, treatment was carried out under ultrasound and manual control.

Results: All lesions showed satisfactory regression after the first ILP session, There were no serious complications, such as bleeding or invasive infection. Ultrasonography was useful for guiding laser treatment in the oral cavity.

Conclusion: Intralesional photocoagulation treatment with a laser is effective and safe for treatment of a vascular lesion in the oral cavity.