Aesthetic Treatment Outcomes of Capillary Hemangioma, Venous Lake, and Venous Malformation of the Lip Using Different Surgical Procedures and Laser Wavelengths (Nd:YAG, Er,Cr:YSGG, CO2, and Diode 980 nm)

Abstract

Different approaches with different clinical outcomes have been found in treating capillary hemangioma (CH), venous lake (VL), or venous malformations (VM) of the lips. This retrospective study aims to assess scar quality, recurrence rate, and patient satisfaction after different surgeries with different laser wavelengths. A total of 143 patients with CH or VM were included. Nd:YAG laser was used for 47 patients, diode 980 nm laser was used for 32 patients (treatments by transmucosal photo-thermo-coagulation), Er,Cr:YSSG laser was used for 12 patients (treatments by excision), and CO2 laser was used for 52 patients (treatments by photo-vaporization). The Manchester scar scale was used by practitioners to assess the scar quality. The recurrence rate and patients’ satisfaction were noted at different follow-ups during 12 months. Our retrospective study showed that laser-assisted aesthetic treatment of vascular lesions (CH, VL, and VM) of the lips can be considered effective regardless of the wavelength used (Er,Cr:YSGG, CO2, Nd:YAG, and diode 980 nm) or the treatment procedure (transmucosal photo-thermo-coagulation, photo-vaporization, and surgical excision). There was no significant difference in patient and practitioner satisfaction with aesthetic outcome at 6 months follow-up. Furthermore, the treatments of lip vascular lesions performed using Er,Cr:YSGG and CO2 lasers did not show any recurrence during the 12 months of follow-up, while recurrence rates of 11% ± 1.4% and 8% ± 0.9% were seen in the diode and Nd:YAG groups, respectively.

Use of foam form of 3% Ethoxysclerol in the venous malformations treatment of the maxillofacial region ‎

“…In addition to that, the usage of this method in outpatient settings can be named as a great advantage [14]. During the postoperative period pain syndrome, as well as collateral edema of the soft tissues surrounding VM, is less pronounced [15]. The method of endovenous laser obliteration (EVLO) of VM of MFR, which has been used since 2000, is also of great interest [16].…”

Application of Fractal Dimension and Texture Analysis to Evaluate the Effectiveness of Treatment of a Venous Lake in the Oral Mucosa Using a 980 nm Diode Laser—A Preliminary Study

“…The study of Nammour et al, using four laser devices including a CO2 laser (10.600 nm) (Smart US20 D Laser, High Tech Laser, Herzele, Belgium), a continuous wave (CW) at 1 W power, a diode laser at 980 nm (Smart M Pro, Lasotronix, Poland), a 4 W, CV, ND:YAG 1064 nm (Fidelus Plus, Fotona Medical Laser, Ljubljana, Slovenia) in pulsed mode (PM) at 15 Hz and an Er,Cr:YSGG 2790 nm (Waterlase, Biolase, Inc., Foothill Ranch, CA, USA) at 0.25 W and 20 Hz for the treatment of vascular lesions in the oral area, confirming their high efficacy regardless of the wavelength or treatment procedure used [ 34 ]. They reported no significant differences in aesthetic healing 6 months after treatment.…”

External Beam Radiotherapy as an Adjuvant in the Management of Recurrent Digital Heamangiomatous Tumour: A Case Report

“…Such laser types include neodymium-doped yttrium, aluminum and garnet laser (Nd:YAG; 1064nm), erbium/chromiumdoped yttrium, scandium, gallium and garnet laser (Er,Cr:YSGG ;2790 nm) , carbon dioxide laser (CO 2 ; 10,600 nm) and diode laser (980 nm). Several studies on laser surgeries have documented excellent outcomes in terms of aesthesis, preservation of function and recurrence [17,18]. However, expertise, affordability and accessibility limit the use of laser in the surgical management of vascular lesions.…”