Evaluation of a New Method for the Treatment of Invasive, Diffuse, and Unexcisable Lymphangiomas of the Oral Cavity with Defocus CO₂Laser Beam: A 20-Year Follow-Up

Abstract

The use of CO2 laser under the suggested irradiation conditions can be considered a useful technique for the treatment of invasive lymphangiomas.

Lingual Lymphangioma Ablation With High Power Diode Laser: A Case Report

“…2,9 Histologically, lymphangioma is differentiated into capillary, cavernous, and cystic (cystic hygroma) types according to vessel size. 2 US exam, a low-cost, rapid and non-ionizing radiation test, is considered a satisfactory resource to aid in the diagnosis of lymphangioma, [1][2][3][4][5] especially for reporting the content, location, and extent of the lesion. The main reasons for therapeutic intervention in lymphangioma are functional, such as chewing, speech, and esthetic impairment.…”

“…Lymphangioma or lymphatic malformation is a benign and congenital disorder that arises from lymphatics with a deficient connection of drainage to other lymphatic vessels or veins. [1][2][3][4] For microcystic lymphangioma, clinical and complementary imaging exams, such as ultrasonography (US), are recommended as diagnostic tools. Histopathological examination is performed only in microcystic lesions with atypical clinical profiles.…”

“…In addition, there are high rates of recurrence and morbidity associated with this form of treatment. 1,[3][4][5][6] Sclerotherapy is an alternative therapy, but studies reported the lack of standardization of the dosage, application intervals, and adverse effects, with better results observed in macrocystic lesions than in microcystic or circumscribed lesions. [5][6][7] Carbon dioxide (CO 2 ) and the Nd:YAG laser have previously been successfully used to treat microcystic lymphangioma.…”

“…[5][6][7] Carbon dioxide (CO 2 ) and the Nd:YAG laser have previously been successfully used to treat microcystic lymphangioma. [3][4][5] Despite the reports of postoperative pain and edema after the ablation of lesions, recurrence was uncommon. 4 The high cost of CO 2 is an added disadvantage.…”

“…[3][4][5] Despite the reports of postoperative pain and edema after the ablation of lesions, recurrence was uncommon. 4 The high cost of CO 2 is an added disadvantage. 8 Due to the good results obtained by the use of lasers in the treatment of vascular anomalies, mainly venous malformations, 3,4 we describe the diode laser ablation of the microcystic lymphangioma on the dorsum of the tongue.…”