Evaluation of a New Method for the Treatment of Invasive, Diffuse, and Unexcisable Lymphangiomas of the Oral Cavity with Defocus CO2 Laser Beam: A 20-Year Follow-Up
Namour, Samir; VAN HEUSDEN, Alain; Namour, Amauryet al.
2016 • In Photomedicine and Laser Surgery, 34 (2), p. 82-87
[en] Abstract
Objective: The aim of our study is to evaluate the efficiency of a new therapeutic method using CO2 laser to avoid
mutilation or total excision for the treatment of invasive, large and unexcisable oral lymphangiomas. Background
data: Cystic lymphatic malformations, or lymphangiomas, are mature lymphatic malformations, consisting of
abnormal lymphatic vessels. Surgical excision is considered by most surgeons to be the treatment of choice for
lymphangioma. Laser beam has been used to treat superficial or small lymphatic malformations by excision or by
photocoagulation, and to excise or photocoagulate small lymphangiomas. Patients and methods: Seventeen
patients with diffuse and unexcisable lymphangiomas were treated using a CO2 laser with specific settings: beam
was 2W in noncontact and defocus mode, power density was 0.63W/cm2 for irradiation time in the range of 3–
5min, and the estimated energy density range was 114.65–191.02 J/cm2. The beam diameter at the tissular impact
point was –2 cm. The laser beam was defocused to provoke a deep heat generation that would dry up the
lymphatic tissues and induce deep tissue necrosis that heals by fibrous tissue process. Results: The results were
satisfactory and stable, with localized recurrence in three cases. The recurrent areas were re-treated using the same
technique successfully and with no further recurrence. Conclusions: The use of CO2 laser under the suggested
irradiation conditions can be considered a useful technique for the treatment of invasive lymphangiomas.
Research center :
d‐BRU - Dental Biomaterials Research Unit - ULiège [BE]
Disciplines :
Dentistry & oral medicine
Author, co-author :
Namour, Samir ; Université de Liège > Département de sciences dentaires > Département de sciences dentaires
VAN HEUSDEN, Alain ; Centre Hospitalier Universitaire de Liège - CHU > Institut de dentisterie - prothèse fixée
Namour, Amaury; Université de Liège - ULiège > Sciences dentaires
Zeinoun, Toni; Lebanese University > Department of oral and maxillo-facial surgery
Language :
English
Title :
Evaluation of a New Method for the Treatment of Invasive, Diffuse, and Unexcisable Lymphangiomas of the Oral Cavity with Defocus CO2 Laser Beam: A 20-Year Follow-Up
Publication date :
2016
Journal title :
Photomedicine and Laser Surgery
ISSN :
1549-5418
eISSN :
1557-8550
Publisher :
Mary Ann Liebert, Inc., Larchmont, United States - New York
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