Aesthetic Treatment Outcomes of Capillary Hemangioma, Venous Lake, and Venous Malformation of the Lip Using Different Surgical Procedures and Laser Wavelengths (Nd:YAG, Er,Cr:YSGG, CO 2, and Diode 980 nm)

Samir Nammour, Marwan El Mobadder, Melanie Namour, Amaury Namour, Josep Arnabat-Dominguez, Kinga Grzech-Leśniak, Alain Vanheusden and Paolo Vescovi
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Samir Nammour: Department of Dental Science, Faculty of Medicine, University of Liege, 4000 Liege, Belgium
Marwan El Mobadder: Department of Dental Science, Faculty of Medicine, University of Liege, 4000 Liege, Belgium
Melanie Namour: Department of Dental Science, Faculty of Medicine, University of Liege, 4000 Liege, Belgium
Amaury Namour: Department of Dental Science, Faculty of Medicine, University of Liege, 4000 Liege, Belgium
Josep Arnabat-Dominguez: School of Dentistry, University of Barcelona, 08907 Barcelona, Spain
Kinga Grzech-Leśniak: Dental Surgery Department, Medical University of Wroclaw, 50-425 Wroclaw, Poland
Alain Vanheusden: Department of Dental Science, Faculty of Medicine, University of Liege, 4000 Liege, Belgium
Paolo Vescovi: Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy

IJERPH, 2020, vol. 17, issue 22, 1-17

Abstract: Different approaches with different clinical outcomes have been found in treating capillary hemangioma (CH), venous lake (VL), or venous malformations (VM) of the lips. This retrospective study aims to assess scar quality, recurrence rate, and patient satisfaction after different surgeries with different laser wavelengths. A total of 143 patients with CH or VM were included. Nd:YAG laser was used for 47 patients, diode 980 nm laser was used for 32 patients (treatments by transmucosal photo-thermo-coagulation), Er,Cr:YSSG laser was used for 12 patients (treatments by excision), and CO 2 laser was used for 52 patients (treatments by photo-vaporization). The Manchester scar scale was used by practitioners to assess the scar quality. The recurrence rate and patients’ satisfaction were noted at different follow-ups during 12 months. Our retrospective study showed that laser-assisted aesthetic treatment of vascular lesions (CH, VL, and VM) of the lips can be considered effective regardless of the wavelength used (Er,Cr:YSGG, CO 2 , Nd:YAG, and diode 980 nm) or the treatment procedure (transmucosal photo-thermo-coagulation, photo-vaporization, and surgical excision). There was no significant difference in patient and practitioner satisfaction with aesthetic outcome at 6 months follow-up. Furthermore, the treatments of lip vascular lesions performed using Er,Cr:YSGG and CO 2 lasers did not show any recurrence during the 12 months of follow-up, while recurrence rates of 11% ± 1.4% and 8% ± 0.9% were seen in the diode and Nd:YAG groups, respectively.

Keywords: capillary hemangioma; lasers; lip; oral pathology; oral surgery; venous lake; venous malformation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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