Hemostatic Effect of the CO 2 Laser Over Excision of an Intraoral Hemangioma

Hemangiomas are benign vascular tumors of the endothelial cells and characterized by increased number of normal or abnormal vessels filled with blood. Most true hemangiomas involute with time, but a certain small percentage does not, which may present with complications that require treatment. An estimated 10 to 20% of the true hemangiomas incompletely involute and require ablative treatment. Hemangiomas are probably one of the most underestimated and misunderstood vascular tumors and it is every diagnostician and clinician’s imperative to have a sound knowledge of these tumors to thus provide successful treatment to the patients. Conventional surgical excision of hemangioma can cause severe bleeding in the operative site, which on the other hand can be well controlled by the coagulative effect of the CO2 laser, by virtue of a painless vaporization of the tissue. The purpose of this case study is to understand hemangiomas and the importance and efficacy of the minimally invasive, hemostatic effect of a CO2 and little postoperative scarring and morbidity in comparison to the conventional surgical techniques.

[1]  A. Pinheiro,et al.  An audit of CO2 laser surgery in the mouth. , 1994, Brazilian dental journal.

[2]  C. Cobb,et al.  Lasers in periodontics: a review of the literature. , 2006, Journal of periodontology.

[3]  V. Wright Laser surgery: using the carbon dioxide laser. , 1982, Canadian Medical Association journal.

[4]  Frame Jw,et al.  An audit of CO2 laser surgery in the mouth. , 1994 .

[5]  D. Apfelberg,et al.  Benefits of the CO2 laser in oral hemangioma excision. , 1985, Plastic and Reconstructive Surgery.

[6]  R. Cȃmpian,et al.  Laser TreaTmenT in OraL and maxiLLO faciaL HemangiOma and VascuLar m aLfOrmaTiOns , 2010 .

[7]  W. Baschong,et al.  Visualization of subcellular changes induced by CO2-laser surgery in vitro. , 2001, Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia.

[8]  H. Altermatt,et al.  CO2 and diode laser for excisional biopsies of oral mucosal lesions. A pilot study evaluating clinical and histopathological parameters. , 2010, Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia.

[9]  E. Chen,et al.  Vascular Anomalies of the Head and Neck , 2010 .

[10]  A. Pinheiro,et al.  Surgical management of premalignant lesions of the oral cavity with the CO2 laser. , 1996, Brazilian Dental Journal.

[11]  H. Altermatt,et al.  CO 2 and diode laser for excisional biopsies of oral mucosal lesions , 2010 .

[12]  A. Malik,et al.  Initial Tissue Response after Partial Glossectomy by 3 Watt, 6 Watt CO2 Laser and Scalpel , 2011 .

[13]  H. Muntz,et al.  Vascular Anomalies of the Head and Neck , 2012 .