open access
메뉴ISSN : 0376-4672
Pyogenic granuloma is a prevalent, benign muco-cutaneous lesion with exuberant tissue caused by local irritation or trauma. The term ‘pyogenic granuloma’ can be a misnomer because the lesion neither causes pus formation nor represents a true granuloma, histologically. Pyogenic granuloma appears as a sessile or pedunculated exophytic mass covered by yellow fibrinous membrane. Its smooth or lobulated surface may easily bleed or ulcerated. Gingiva is the most common site (75% of all cases), and lips, tongue, buccal mucosa and the hard palate are also affected. Surgical excision is the first choice of treatment many other treatment modalities can be used. After surgical excision, recurrence occurs up to 16% of these lesions. It is believed that recurrence ensues as a result of incomplete excison, failure to eliminate etiologic factors or repeated trauma. This case report describes the use of diode laser in surgical excision of the recurred pyogenic granuloma on the hard palate
1. Hasanoglu Erbasar GN, Senguven B, Gultekin SE, Cetiner S. Management of a Recurrent Pyogenic Granuloma of the Hard Palate with Diode Laser: A Case Report. J Lasers Med Sci. 2016;7:56-61.
2. Rai, S., Kaur, M., & Bhatnagar, P. Laser: a powerful tool for treatment of pyogenic granuloma. J Cutan Aesthet Surg. 2011;4:144-147.
3. Saravana, GH. Oral pyogenic granuloma: a review of 137 cases. Br J Oral Maxillofac Surg. 2009;47:318-319.
4. Bhaskar SN, Jacoway JR. Pyogenic granuloma-clinical features, incidence, histology, and result of treatment: report of 242 cases. J Oral Surg. 1966;24:391-398.
5. Angelopoulos AP. Pyogenic granuloma of the oral cavity: statistical analysis of its clinical features. J Oral Surg. 1971;29:840-847.
6. el-Sayed Y, al-Serhani A. Lobular capillary haemangioma (pyogenic granuloma) of the nose. J Laryngol Otol. 1997;111:941-945
7. Goharkhay K, Moritz A, Wilder-Smith P, Schoop U, Kluger W, Jakolitsch S, Sperr W. Effects on oral soft tissue produced by a diode laser in vitro. Lasers Surg Med. 1999;25:401-406.
8. Wilder-Smith P, Arrastia AM, Liaw LH, Berns M. Incision properties and thermal effects of three CO2 lasers in soft tissue. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79:685-691.
9. Simşek Kaya G, Yapici Yavuz G, Sümbüllü MA, Dayi E. A comparison of diode laser and Er:YAG lasers in the treatment of gingival melanin pigmentation. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113:293-299.
10. Gokhale SR, Padhye AM, Byakod G, Jain SA, Padbidri V, Shivaswamy S. A comparative evaluation of the efficacy of diode laser as an adjunct to mechanical debridement versus conventional mechanical debridement in periodontal flap surgery: a clinical and microbiological study. Photomed Laser Surg. 2012;30:598-603.
11. Ichimiya M, Yoshikawa Y, Hamamoto Y, Muto M. Successful treatment of pyogenic granuloma with injection of absolute ethanol. J Dermatol. 2004;31:342-344.