journal of orofacial surgery
Scars following injuries are common and an important cause of concern to patients. They can be treated with various modalities including lasers. Recently, fractional lasers have emerged as an effective, safe modality in tackling this challenge. There are limited publications on the efficacy and safety of treatment of post trauma scars with fractional ablative laser. Here we are presenting a case of posttraumatic scar treated with fractional ablative erbium yag laser which showed significant improvement in colour, texture and overall appearance of the scar.
Oral cancer, with an annual incidence of over 300,000 cases, is reported to be the eighth most common cancer globally. Incidence and mortality as a result of oral cancer are higher in developing countries when compared to developed countries. According to the latest World Health Organization (WHO) data recorded in 2010, the death rate due to oral cancer in the North Africa is reported to be approximately 2 in 100,000, which is much lower than that in India and in the United States.
Squamous cell carcinoma of the head and neck (HNSCC) is primarily a disease of older adults, occurring most frequently in patients older than age 45. Epidemiological studies over last 20 years have shown a steady rise in the incidence of these cancers in younger adults (age 18–45 years), especially in cancers of the oropharynx and oral cavity. The predilection for these particular subsites vs. other sites such as the larynx or the hypopharynx remains unclear. Likewise, the aetiology for early onset of these neoplasms is not well understood. Squamous cell carcinomas (SCCs) of the lip and oral cavity comprise 90 to 95% of all oral malignancies.
Port wine stains are low flow malformations of skin. They can be congenital or acquired. They do not involute with time; instead they develop nodularity and hypertrophy. If they are not treated they can progress in size. The 585 nm PDL is supposed to be the most safe and most effective treatment for this condition. To our knowledge there is no report on the use of ablative fractional Erbium-YAG laser for the treatment of port wine stain. Here, we present a case of port wine stain treated with ablative fractional Erbium-YAG laser which showed significant clearance.
A 27 year old male patient presented to our centre with a patch on the right side of angle of mouth extending to the right lower lip and inner lip mucosa. The lesion was erythematous, ill defined, 7 × 5 cm patc. It was present since birth, light pink in color and gradually increased in color and size after adolescence. The patient had tried various bleaching agents but to no avail. He was advised to undergo laser treatment with fractional ablative laser. After explaining to him about the nature of his condition, treatment options, possible side effects and outcomes, an informed consent was taken. The patient was counseled on the need for multiple sessions and asked to come after every three weeks. Subjective analysis was done clinically and by patient satisfaction score. Objective analysis was done with photography.
Compared with other branches of medicine, cosmetology and orofacial surgery in their current forms are relatively novel sciences. Recent developments in cosmological-surgical instruments and techniques have opened hopeful doors toward managing cosmological and surgical difficulties that were considered as therapeutical challenges in the recent past. For instance, introduction of the light and laser therapy to the medical world in the current decade was a great step in the progress of these two branches of medicine. Many scientists all over the world have made great strides to optimize these newly-born fields in terms of defining their boundaries and introducing well-developed technical procedures.