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Laser applications for benign oral lesions.
1Carolyn and Peter Lynch Center for Laser and Reconstructive Surgery, Division of Facial Plastic and Reconstructive Surgery, Department of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, 02114.
Selective laser treatment effectively targets benign intraoral lesions with chromophores, offering a safe and efficient method for destruction. This approach minimizes damage to surrounding tissues, reducing recurrence rates for conditions like vascular anomalies.
Area of Science:
- Oral Surgery
- Dermatology
- Laser Medicine
Background:
- Various treatments exist for benign intraoral lesions.
- Laser photocoagulation is one such method.
Purpose of the Study:
- To determine if lasers can effectively target and destroy intraoral lesions with endogenous chromophores.
- To assess if lasers minimize injury to adjacent tissues and critical structures.
Main Methods:
- Retrospective study of 26 benign intraoral lesions (vascular and pigmented).
- Lesions treated with selective laser treatment.
- Photographic documentation reviewed by blinded personnel to assess lesion clearance and bleeding ablation.
Main Results:
- Significant lightening observed in port-wine stains (30-95%), hemangiomas (90%), arteriovenous malformations (70%), venous malformations (81%), and venous lakes (86%).
- Complete bleeding ablation in hereditary hemorrhagic telangiectasia lesions.
- Effective hair removal from reconstructive flaps, though less effective on grey/white hair.
Conclusions:
- Lasers are safe and effective for selectively destroying specific chromophores in intraoral lesions.
- Targeted destruction minimizes relapse and recurrence.
- Selective laser treatment is a valuable niche application for managing oral vascular anomalies and hairy flaps.
