A Comparative Evaluation of Surgical, Electrosurgery and Diode Laser in the Management of Maxillofacial Nevus.

Autor: Reddy Bandral M; Department of Oral and Maxillofacial Surgery, GDC & RI, VIMS, Cantonment, Bellary, 583104 India., Gir PJ; 2Department of Oral and Maxillofacial Surgery, A.C.P.M. Dental College and Hospital, Dhule, India.; Pune, 411011 India., Japatti SR; 2Department of Oral and Maxillofacial Surgery, A.C.P.M. Dental College and Hospital, Dhule, India., Bhatsange AG; 4Department of Periodontics, A.C.P.M. Dental College and Hospital, Dhule, India., Siddegowda CY; 2Department of Oral and Maxillofacial Surgery, A.C.P.M. Dental College and Hospital, Dhule, India., Hammannavar R; 2Department of Oral and Maxillofacial Surgery, A.C.P.M. Dental College and Hospital, Dhule, India.
Jazyk: angličtina
Zdroj: Journal of maxillofacial and oral surgery [J Maxillofac Oral Surg] 2018 Dec; Vol. 17 (4), pp. 547-556. Date of Electronic Publication: 2018 Feb 06.
DOI: 10.1007/s12663-018-1081-8
Abstrakt: Purpose: To compare the post-operative wound healing of patients treated for excision of the nevus/mole from maxillofacial region with surgical, electrosurgery and diode laser.
Materials and Methods: Forty-five clinically confirmed cases of benign nevus were included in the study and randomly divided into three groups according to the technique used for excision, i.e. Group A-surgical excision, Group B-diode laser and Group C-electrosurgery. Post-operative wound evaluation was done using Stony Brook scar evaluation scale on post-operative photographs taken on days 7, 21 and 90 (3 months).
Results: Statistically, there was no significant difference between the three techniques on post-operative day 90. Clinically, hypopigmentation was noted with diode laser and electrosurgical excision of benign nevus.
Conclusion: Since all three techniques yielded statistically comparable results, the patients can be given a choice of technique to undergo surgery. Surgical excision being the most cost effective and nil post-operative hypopigmentation may be the treatment of choice for majority of the patients.
Competing Interests: None.This study was approved by the ethics committee of the Institution. All procedures performed in the study were in accordance with the ethical standards of the institutional ethics committee.Informed written consent was obtained from the patient included in the study.
Databáze: MEDLINE
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