A Comparative Study of Mucosal Wound Healing after Excision with a Scalpel, Diode Laser, or CO 2 Laser.

Autor: Bilder A; From the Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center, Haifa, Israel.; Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel., Rachmiel A; From the Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center, Haifa, Israel.; Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel., Ginini JG; From the Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center, Haifa, Israel.; Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel., Capucha T; From the Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center, Haifa, Israel.; Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel., Ohayon C; From the Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center, Haifa, Israel., Weitman E; The Maxillofacial Surgery Unit at Shaare Zedek Medical Center, Jerusalem, Israel., Emodi O; From the Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center, Haifa, Israel.; Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Jazyk: angličtina
Zdroj: Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2023 Aug 04; Vol. 11 (8), pp. e5150. Date of Electronic Publication: 2023 Aug 04 (Print Publication: 2023).
DOI: 10.1097/GOX.0000000000005150
Abstrakt: We aimed to compare the clinical and histological secondary healing effectiveness of various types of high-level laser versus scalpel excision in mucosa frenectomy.
Methods: Forty-five Sprague Dawley rats were used in this study. These rats were divided into two laser intervention groups (CO 2 , n = 15; diode, n = 15) and one control group with scalpel excision (n = 15). The effectiveness of therapy has been assessed based on the comparison of intraoperative, postoperative, and histological parameters on days 7, 21, and 35, and postoperative weight changes as pain indicator.
Results: Both laser groups demonstrated significantly ( P < 0.05) less bleeding than did the control group during the intraoperative stage, whereas the CO 2 laser showed more precise cutting compared with the diode laser ( P < 0.05). The highest healing score was reported in the CO 2 and scalpel groups on the first week of healing than in the diode group ( P < 0.05). However, no significant difference was observed between the groups on days 21 and 35. Weight loss was significantly ( P < 0.05) demonstrated in the diode group compared to the scalpel and CO 2 groups till day 7. Both laser groups demonstrated delayed healing process compared with the scalpel. Nevertheless, the CO 2 group followed the scalpel trends after day 7.
Conclusion: Scalpel and CO 2 laser yielded a superior clinical outcome compared with the diode excision of oral mucosa, whereby the CO 2 has been proposed as the most effective laser type at the end of the first postoperative month.
Competing Interests: The authors have no financial interest to declare in relation to the content of this article. Disclosure statements are at the end of this article, following the correspondence information.
(Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze: MEDLINE
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