Key Clinical Message
The diode laser promotes regression of the small venous lake of the lip by forced dehydration with induced photocoagulation of the lesions, with an uneventful postoperative course and anesthetic sequelae.
Keywords: dehydration, diode laser, lip venous lake, photocoagulation, vascular malformations
When a diagnosis of venous lake of the lip is reached (Figure 1), the problem of preventing unesthetic sequelae after therapy arises.1, 2, 3 As showed in the video‐illustration (video S1), the diode laser is used in absolutely safe way to promote forced dehydration with induced photocoagulation of the vascular malformation. The diode laser, with a wavelength of 980‐nm, is used by defocused irradiation mode with an output of 3 watt in continuous wave until the lesion undergoes a chromatic variation from dark purple to light gray.4, 5 Postoperative course was uneventful; a partial regression is observable after 7 days, while the complete healing has been achieved after 20 days without unesthetic scar.6
Figure 1.
Venous lake of the inferior lip of small dimension
CONFLICT OF INTEREST
None declared.
AUTHORSHIP
SC and GF: involved in the surgical procedure. LL: prepared the manuscript. AT: reviewed the literature. EM: revised the manuscript.
Supporting information
Capodiferro S, Limongelli L, Tempesta A, Maiorano E, Favia G. Diode laser treatment of venous lake of the lip. Clin Case Rep. 2018;6:1923–1924. 10.1002/ccr3.1735
REFERENCES
- 1. Jasper J, Camilotti RS, Pagnoncelli RM, Poli VD, da Silveira Gerzson A, Gavin Zakszeski AM. Treatment of lip hemangioma using forced dehydration with induced photocoagulation via diode laser: report of three cases. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(3):e89‐e94. [DOI] [PubMed] [Google Scholar]
- 2. Genovese WJ, dos Santos MT, Faloppa F, de Souza Merli LA. The use of surgical diode laser in oral hemangioma: a case report. Photomed Laser Surg. 2010;28(1):147‐151. [DOI] [PubMed] [Google Scholar]
- 3. Favia G, Tempesta A, Limongelli L, Suppressa P, Sabbà C, Maiorano E. Diode laser treatment and clinical management of multiple oral lesions in patients with hereditary haemorrhagic telangiectasia. Br J Oral Maxillofac Surg. 2016;54(4):379‐383. [DOI] [PubMed] [Google Scholar]
- 4. Favia G, Limongelli L, Tempesta A, Favia M, Maiorano E. PHACES syndrome: diode laser photocoagulation of intraoral hemangiomas in six young patients. Int J Surg Case Rep. 2015;11:124‐128. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5. Bacci C, Sacchetto L, Zanette G, Sivolella S. Diode laser to treat small oral vascular malformations: a prospective case series study. Lasers Surg Med. 2018;50(2):111‐116. [DOI] [PubMed] [Google Scholar]
- 6. Mlacker S, Shah VV, Aldahan AS, McNamara CA, Kamath P, Nouri K. Laser and light‐based treatments of venous lakes: a literature review. Lasers Med Sci. 2016;31(7):1511‐1519. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials