Management of atypical cellular angiofibroma arising in the oral cavity using Er, Cr: YSGG laser: a case report

Purpose Cellular angiofibroma (CAF) is a rare mesenchymal neoplasm that usually arises in the genital region. It is comprised of cellular fibrous tissue stroma with an enhanced vascular component in the form of blood vessels with varying sizes. It is commonly treated by surgical excision. We report...

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Veröffentlicht in:Lasers in dental science 2024-06, Vol.8 (1), p.35, Article 35
Hauptverfasser: Elessawey, Sara S., Fahmy, Rania A., El-Naggar, Hagar A., Madawi, Nourhan A. Abou
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container_issue 1
container_start_page 35
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creator Elessawey, Sara S.
Fahmy, Rania A.
El-Naggar, Hagar A.
Madawi, Nourhan A. Abou
description Purpose Cellular angiofibroma (CAF) is a rare mesenchymal neoplasm that usually arises in the genital region. It is comprised of cellular fibrous tissue stroma with an enhanced vascular component in the form of blood vessels with varying sizes. It is commonly treated by surgical excision. We report an atypical presentation of CAF in the oral cavity and discuss aspects related to its clinicopathological characteristics. Lasers are becoming widely used in the management of oral lesions due to their beneficial effects such as: less pain, bleeding, appropriate homeostasis, shorter recovery times, fewer analgesics used. This is the first case of CAF treated with laser. Methods The lesion was completely excised with Er, Cr: YSGG 2780 nm laser (WaterLase iPlus®, Foothill Ranch, CA, USA) with parameters (2.5 W, 40 Hz, air 20, water 40, H mode, tip MZ6). Histological examination and immunohistochemical interpretation were done revealing the diagnosis of CAF. Results There was less post operative pain and minimal bleeding to the patient with antibacterial effect. Also, there were no complications nor recurrence after two weeks and 6 months of follow up. Conclusion Laser offers a new and effective treatment of CAF developing in the oral cavity.
doi_str_mv 10.1007/s41547-024-00247-z
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Abou</creator><creatorcontrib>Elessawey, Sara S. ; Fahmy, Rania A. ; El-Naggar, Hagar A. ; Madawi, Nourhan A. Abou</creatorcontrib><description>Purpose Cellular angiofibroma (CAF) is a rare mesenchymal neoplasm that usually arises in the genital region. It is comprised of cellular fibrous tissue stroma with an enhanced vascular component in the form of blood vessels with varying sizes. It is commonly treated by surgical excision. We report an atypical presentation of CAF in the oral cavity and discuss aspects related to its clinicopathological characteristics. Lasers are becoming widely used in the management of oral lesions due to their beneficial effects such as: less pain, bleeding, appropriate homeostasis, shorter recovery times, fewer analgesics used. This is the first case of CAF treated with laser. Methods The lesion was completely excised with Er, Cr: YSGG 2780 nm laser (WaterLase iPlus®, Foothill Ranch, CA, USA) with parameters (2.5 W, 40 Hz, air 20, water 40, H mode, tip MZ6). Histological examination and immunohistochemical interpretation were done revealing the diagnosis of CAF. Results There was less post operative pain and minimal bleeding to the patient with antibacterial effect. Also, there were no complications nor recurrence after two weeks and 6 months of follow up. 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Methods The lesion was completely excised with Er, Cr: YSGG 2780 nm laser (WaterLase iPlus®, Foothill Ranch, CA, USA) with parameters (2.5 W, 40 Hz, air 20, water 40, H mode, tip MZ6). Histological examination and immunohistochemical interpretation were done revealing the diagnosis of CAF. Results There was less post operative pain and minimal bleeding to the patient with antibacterial effect. Also, there were no complications nor recurrence after two weeks and 6 months of follow up. 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subjects Blood vessels
Case Report
Connective tissue
Dentistry
Lasers
Males
Medicine
Optical Devices
Optics
Photonics
Smooth muscle
Tomography
Tumors
title Management of atypical cellular angiofibroma arising in the oral cavity using Er, Cr: YSGG laser: a case report
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