Objective To investigate the effect of laser bio-modulation irradiation therapy on the scar after surgical correction of unilateral cleft lip. Design a comparative, open-label study. Setting we conducted the study in a university based tertiary hospital that recruited early wound healers of unilateral cleft lip correction. Patients Eighty patients were divided into two groups: In study's group, patients undergo laser bio-modulation irradiation (n = 60); in the control group, patients were followed-up without intervention (n = 20). Intervention In the study's group, patients underwent low-power diode Laser with wavelength of 806 nm and power of 100 mw. Main outcome The change in the scar of cleft lip patients, which was assessed by clinical examination and ultrasound. Results The median pigmentation score was significantly lower in the laser group (median = 1; IQR = 1–2) than the control group (median 2; IQR 1–3), with p-value of <0.001. Likewise, the median height score was significantly lower in the laser group (median = 1; IQR = 1–1) than the control group (median 1.5; IQR 1.5–2), with p-value of 0.001. The median pliability score was significantly lower in the laser group (median = 1; IQR = 1–1) than the control group (median 2.5; IQR 1–3), with p-value of <0.001. Finally, the median vascularity score was significantly lower in the laser group (median = 1; IQR = 1–1) than the control group (median 1.5; IQR 1–2), with p-value of <0.001. Conclusion laser bio-modulation irradiation therapy demonstrates a potential efficacy in managing the hypertrophic scars after surgical repair of unilateral cleft lip.
Background: Ankyloglossia “tie tongue” is a congenital anomaly, characterized by abnormal short thick lingual frenum that causes limitation of tongue movement, which results in problems in speech, mastication and patient discomfort. Laser is an alternative for conventional surgery to treat ankyloglossia. Case Report: A 50 years old female patient presented with ankyloglossia to laser clinic in faculty of Dentistry in Misr University for Science and Technology. Lingual frenectomy was done with Diode Laser with 980 nm wavelength, fiber tip diameter 300 μm, power 1.5 Watt, continuous wave mode and contact mode. The time of procedure was only 15 minutes, with bloodless field during work. Patient dismissed without sutures or wound dressing. Results: There was no post-operative pain, discomfort or swelling. Complete healing occurred after 2 weeks. The patient was very satisfied with the quick painless procedure. Conclusion: Diode Laser 980nm treatment of Ankyloglossia is a simple, quick, painless and safe, and effective procedure. We recommend this treatment modality because of its advantages for both the patient and the operator.
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