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Medical Science Monitor Basic Research


Use of Diode Laser for Surgical Removal of Pyogenic Granuloma of the Lower Lip in a Pediatric Patient: A Case Report

Unknown etiology, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Unexpected drug reaction , Educational Purpose (only if useful for a systematic review or synthesis)

Massimo Pisano, Pasquale Sammartino, Leonardo Di Vittorio, Alfredo Iandolo, Mario Caggiano, Marco Roghi, Maria Eleonora Bizzoca, Lorenzo Lo Muzio

Italy Department of Medicine, Surgery and Dentistry, Salerno Medical School, University of Salerno, Salerno, Italy

Am J Case Rep 2021; 22:e929690

DOI: 10.12659/AJCR.929690

Available online: 2021-05-13

Published: 2021-06-19


BACKGROUND: A pyogenic granuloma is an inflammatory exophytic lesion that can occur in the oral cavity. Numerous factors are involved in the etiology of the lesion and can lead to the tissue proliferation underlying the lesion’s characteristic appearance. The main treatment is surgical excision with careful curettage of the surrounding tissues. The use of a laser has been proposed because it enables performing deep and precise incisions with better hemostasis and less invasive procedures with less discomfort to patients. The aim of this study was to evaluate the possible advantages of using a diode laser in the surgical treatment of pyogenic granuloma, particularly in the management of a pediatric patient.
CASE REPORT: A swelling in the lower lip of an 11-year-old female patient was analyzed. After several evaluations, a 980-nm diode laser in continuous wave mode was chosen for excision of the lesion. The lesion was excised successfully with a diode laser as a conservative method that was nonstressful for the pediatric patient.
CONCLUSIONS: Among the techniques for surgical excision of a lesion, the use of a diode laser has the following advantages: less invasiveness, absence of intra- and postoperative discomfort and pain, effective hemostasis with better control of bleeding, absence of scarring, better postoperative management, and greater patient compliance.

Keywords: Granuloma, Pyogenic, Laser Therapy, Lasers, Semiconductor