Comparative Evaluation of Efficacy and Safety of the Diode Laser (980 nm) and Sclerotherapy in the Treatment of Oral Vascular Malformations
Background. Vascular malformations are structural abnormalities which are formed by progressively enlarging aberrant and ecstatic vessels without endothelial cell proliferation and composed of the type of vessel involved, i.e., capillary, veins, and arteriovenous. Treatment of vascular malformations...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | International Journal of Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/2785859 |
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| author | Peeyush Shivhare Naqoosh Haidry Neha Sah Ajay Kumar Abhishek Gupta Ankur Singh Mohan Raju Penumatcha Shalini Subramanyam |
| author_facet | Peeyush Shivhare Naqoosh Haidry Neha Sah Ajay Kumar Abhishek Gupta Ankur Singh Mohan Raju Penumatcha Shalini Subramanyam |
| author_sort | Peeyush Shivhare |
| collection | DOAJ |
| description | Background. Vascular malformations are structural abnormalities which are formed by progressively enlarging aberrant and ecstatic vessels without endothelial cell proliferation and composed of the type of vessel involved, i.e., capillary, veins, and arteriovenous. Treatment of vascular malformations may involve many techniques like sclerotherapy, embolization, surgical resection, cryotherapy, laser treatment, or medical therapy. This observational prospective study is aimed at evaluating and comparing the effects and efficacy of diode laser and sclerotherapy in the treatment of oral vascular malformation. Materials and Methods. 40 patients presenting with oral vascular malformation were included in the present study. The patients were divided equally (20 in each) into two groups, i.e., the laser group and sclerotherapy group. Sclerotherapy was performed with 3% sodium tetradecyl sulfate while the laser group was treated with diode laser 980 nm with transmucosal thermophotocoagulation. The patients were assessed for the response, remission, and side effects. The results obtained were tabulated and compared with the chi-square test. Results. Side effects were found significantly lesser in the laser group compared to the sclerotherapy group (p<0.05). Statistically significant difference was seen for postoperative pain between two groups. The laser group had mild to moderate pain compared to severe pain in the sclerotherapy group. Recurrence was observed more in the laser group compared to the sclerotherapy group. Conclusions. Laser and sclerotherapy with 3% sodium tetradecyl sulfate both are effective in the treatment of vascular malformations. Diode laser seems to be better than sclerotherapy given lesser side effects and comfort to the patients while sclerotherapy seems to be better in respect to recurrences. |
| format | Article |
| id | doaj-art-0d3cec2977c54eb094a2e77c659606bb |
| institution | Kabale University |
| issn | 2090-2832 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Vascular Medicine |
| spelling | doaj-art-0d3cec2977c54eb094a2e77c659606bb2025-02-03T05:49:19ZengWileyInternational Journal of Vascular Medicine2090-28322022-01-01202210.1155/2022/2785859Comparative Evaluation of Efficacy and Safety of the Diode Laser (980 nm) and Sclerotherapy in the Treatment of Oral Vascular MalformationsPeeyush Shivhare0Naqoosh Haidry1Neha Sah2Ajay Kumar3Abhishek Gupta4Ankur Singh5Mohan Raju Penumatcha6Shalini Subramanyam7Department of DentistryDepartment of DentistryDepartment of Oral and Maxillofacial SurgeryDepartment of Oral Medicine and RadiologyDepartment of Oral Medicine and RadiologyDepartment of Oral Medicine and RadiologyPrivate Dental ClinicPrivate Dental ClinicBackground. Vascular malformations are structural abnormalities which are formed by progressively enlarging aberrant and ecstatic vessels without endothelial cell proliferation and composed of the type of vessel involved, i.e., capillary, veins, and arteriovenous. Treatment of vascular malformations may involve many techniques like sclerotherapy, embolization, surgical resection, cryotherapy, laser treatment, or medical therapy. This observational prospective study is aimed at evaluating and comparing the effects and efficacy of diode laser and sclerotherapy in the treatment of oral vascular malformation. Materials and Methods. 40 patients presenting with oral vascular malformation were included in the present study. The patients were divided equally (20 in each) into two groups, i.e., the laser group and sclerotherapy group. Sclerotherapy was performed with 3% sodium tetradecyl sulfate while the laser group was treated with diode laser 980 nm with transmucosal thermophotocoagulation. The patients were assessed for the response, remission, and side effects. The results obtained were tabulated and compared with the chi-square test. Results. Side effects were found significantly lesser in the laser group compared to the sclerotherapy group (p<0.05). Statistically significant difference was seen for postoperative pain between two groups. The laser group had mild to moderate pain compared to severe pain in the sclerotherapy group. Recurrence was observed more in the laser group compared to the sclerotherapy group. Conclusions. Laser and sclerotherapy with 3% sodium tetradecyl sulfate both are effective in the treatment of vascular malformations. Diode laser seems to be better than sclerotherapy given lesser side effects and comfort to the patients while sclerotherapy seems to be better in respect to recurrences.http://dx.doi.org/10.1155/2022/2785859 |
| spellingShingle | Peeyush Shivhare Naqoosh Haidry Neha Sah Ajay Kumar Abhishek Gupta Ankur Singh Mohan Raju Penumatcha Shalini Subramanyam Comparative Evaluation of Efficacy and Safety of the Diode Laser (980 nm) and Sclerotherapy in the Treatment of Oral Vascular Malformations International Journal of Vascular Medicine |
| title | Comparative Evaluation of Efficacy and Safety of the Diode Laser (980 nm) and Sclerotherapy in the Treatment of Oral Vascular Malformations |
| title_full | Comparative Evaluation of Efficacy and Safety of the Diode Laser (980 nm) and Sclerotherapy in the Treatment of Oral Vascular Malformations |
| title_fullStr | Comparative Evaluation of Efficacy and Safety of the Diode Laser (980 nm) and Sclerotherapy in the Treatment of Oral Vascular Malformations |
| title_full_unstemmed | Comparative Evaluation of Efficacy and Safety of the Diode Laser (980 nm) and Sclerotherapy in the Treatment of Oral Vascular Malformations |
| title_short | Comparative Evaluation of Efficacy and Safety of the Diode Laser (980 nm) and Sclerotherapy in the Treatment of Oral Vascular Malformations |
| title_sort | comparative evaluation of efficacy and safety of the diode laser 980 nm and sclerotherapy in the treatment of oral vascular malformations |
| url | http://dx.doi.org/10.1155/2022/2785859 |
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