Hemostatic Effect of the CO2Laser Over Excision of an Intraoral Hemangioma

Abstract

Hemangiomas are benign vascular tumors of the endothelial cells and characterized by increased number of normal or abnormal vessels filled with blood. Most true hemangiomas involute with time, but a certain small percentage does not, which may present with complications that require treatment. An estimated 10 to 20% of the true hemangiomas incompletely involute and require ablative treatment. Hemangiomas are probably one of the most underestimated and misunderstood vascular tumors and it is every diagnostician and clinician’s imperative to have a sound knowledge of these tumors to thus provide successful treatment to the patients. Conventional surgical excision of hemangioma can cause severe bleeding in the operative site, which on the other hand can be well controlled by the coagulative effect of the CO2 laser, by virtue of a painless vaporization of the tissue. The purpose of this case study is to understand hemangiomas and the importance and efficacy of the minimally invasive, hemostatic effect of a CO2 and little postoperative scarring and morbidity in comparison to the conventional surgical techniques.