Excision Biopsy of Tongue Lesions by Diode Laser

Saleh, Hazem Mohammad Ali; Saafan, Ali Mohamed

doi:10.1089/pho.2006.2014

Cited by 19 publications

(9 citation statements)

References 21 publications

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“…If there is a lot of carbonization, the destruction of the surrounding tissue is large. 37,45,71,109 Carbonization is changing the absorption of the treated tissue; it is increasing due to the dark color which absorbs the diode laser light much better than light colors do.…”

Section: Discussionmentioning

confidence: 99%

“…Next aspect to discuss is the coagulation ability of both modes of operation. In literature, the coagulation efficiency is described as good 17,30,42,67,68,131,145 to very good 7,37,51,72,142 for CW mode.…”

Section: Discussionmentioning

confidence: 99%

“…The literature review showed different kinds of results which varied from no swelling 17,72 to little swelling 26,37,41,46,142,145,151 for both kinds of lasers. During and directly after laser treatment, there was no pain because all patients had been given local anesthesia before surgery.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Diode Lasers in Soft Tissue Surgery using CW and Superpulsed Mode: An in vivo Study

Borchers¹

2011

International Journal of Laser Dentistry

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Dental soft tissue surgery by diode lasers in CW mode often causes carbonization of the tissues with following necrosis and a delay of wound healing. In vitro studies have already shown that superpulsed diode laser surgery has much less disadvantages for the tissues in histological approach. Purpose of this study was to investigate in vivo, if superpulsed mode of operation can realize an improvement for surgeon and patient in soft tissue surgery. A total of 26 patients were treated by diode lasers in different modes of operation for soft tissue surgery. Around 12 patients were treated by superpulsed Elexxion Claros diode laser: 810 nm; 10-50 W P peak ; 10-20 µs pulse duration; 12000-20000 Hz; 400 µm fiber. 14 patients were treated by Vision MDL-10 diode laser: 980 nm; 2.5 W; CW mode and also 400 µm fiber. Clinical treatment was documented by photos and questionnaires for patients and surgeons. Questions concerned: Carbonization, coagulation, cutting speed, pain, swelling, bleeding, need for drugs, functional reduction and fibrine layer on wounds-during treatment, directly after treatment, after 1 day, after 3 days and after 1 week. The clinical observations and the questionnaires showed in most cases signicant differences between CW mode and superpulsed diode laser treatment in surgery. It could be shown that superpulsed diode laser surgery is superior to continuous wave done treatment. Carbonization and thermal damage of the tissues can be reduced to a minimum, therefore healing is faster as in CW mode surgery. Generation of a soft tissue cut is faster and more precise. Patients have less pain in amount and time period. The need of drugs is reduced. There are less functional restrictions and there is less swelling. The advantages of superpulsed mode of operation for soft tissue diode laser surgery are evident. Continuous wave mode should no longer be implemented in diode laser surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Comparison of Diode Lasers in Soft Tissue Surgery using CW and Superpulsed Mode: An in vivo Study

Borchers¹

2011

International Journal of Laser Dentistry

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“…Owing to the smaller penetration in blood rich tissues diode laser is accepted to be safe in the adjacent tissues. The diode laser has a greater but still predictable penetration depth compared to CO 2 laser [19] [20]. Angiero et al employed diode laser for treating sialolithiasis of the submandibular gland and concluded that the procedure is safe and carries a low complication risk [7].…”

Section: Discussionmentioning

confidence: 99%

Surgical Removal of a Giant Sialolith by Diode Laser

Kılınç¹,

Çetiner²

2014

OJST

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Giant sialoliths larger than 20 mm are rare. The surgery has to be performed with the minimally invasive method in order to avoid the morbidity associated with the surgical techniques. In this report the surgical removal of a giant sialolith of 25 mm by using diode laser is described. A 57year-old female was presented with a firm mass in the anterior part of the left side of the floor of the mouth. Following the clinical and radiological examination, the left submandibular duct sialolith was diagnosed. The diode laser was used with a power setting of 810 nm of wavelength, 4.0 W of power, 0.5 ms continuous wave and 1000 Hz of frequency for the incision. The giant sialolith was adequately removed under local anesthesia. The procedure was well-tolerated. The wound healing was uneventful in the postoperative period. By the 10th day after surgery the patient had no complaints and the salivary flow was normal. It was concluded that the use of 810-nm diode laser application is a safe and useful technique. Due to the excellent cutting and coagulation ability, there is a low complication rate, making it an appropriate alternative for this type of surgical procedure.

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“…16 It has been mentioned that diode laser with wavelengths ranging from 810 to 980 nm in a continuous or pulsed mode can be used as a possible method of soft tissue surgery in the oral cavity. 17,18 The major advantages mentioned in the literature for the use of CO 2 and diode lasers are minimal postoperative swelling and scarring, improved wound healing, and decreased postoperative pain and swelling due to transfer of high laser energy to the lesional site, resulting in minimal tissue damage. 19 In case of conventional surgical procedures, damage to the small lymphatic vessels is the cause of postoperative swelling.…”

Section: Ijaimsmentioning

confidence: 99%

Excision of Oral Leukoplakia using 970 nm Diode Laser

David¹,

Agrawal²,

Thakur³

2017

International Journal of Advanced and Integrated Medical Sciences

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Oral leukoplakia (OL) is one of the most commonly seen potentially malignant disorders with varied clinical presentations. A wide variety of medical and surgical treatment modalities have been tried for its management with varying successes. Laser ablation of the lesion is considered as one of the treatment modalities. Conventional surgery may be followed by some side effects like scar formation, contraction, and contamination of surgical field. Using high-power laser has some advantages like less pain, swelling, bleeding, ability to decontaminate, thus preventing secondary infection. This article presents a case of leukoplakia in the right buccal mucosa, which was managed using a 6 W diode laser of 970 nm .The healing occurred uneventfully over a period of 1 month postoperatively with minimal patient discomfort. The case establishes the efficacy of diode laser in the management of OL.

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Excision Biopsy of Tongue Lesions by Diode Laser

Abstract: The diode 980-nm laser is optimal for excision biopsy of superficial and benign proliferative lesions of the mobile tongue.

Cited by 19 publications

References 21 publications

Comparison of Diode Lasers in Soft Tissue Surgery using CW and Superpulsed Mode: An in vivo Study

Comparison of Diode Lasers in Soft Tissue Surgery using CW and Superpulsed Mode: An in vivo Study

Surgical Removal of a Giant Sialolith by Diode Laser

Excision of Oral Leukoplakia using 970 nm Diode Laser

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