Excision Of Pyogenic Granuloma Research Articles

Polidocanol Sclerotherapy for the Treatment of Pyogenic Granuloma in Children.

Pyogenic granuloma (PG) is a benign vascular lesion that is commonly observed in the skin and mucosa. Sclerotherapy is the first-line conservative treatment option for PG. This retrospective study aimed to evaluate the efficacy of sclerotherapy with 1.0% polidocanol for the treatment of PG. All patients who were clinically diagnosed with PG consecutively at the Pediatric Outpatient Service of Qilu Children's Hospital of Shandong University from March 2018 to October 2019 received sclerotherapy with 1.0% polidocanol. The procedure resulted in the complete excision of PG, with inconspicuous scars. The procedure was well-tolerated, and recurrence was not observed. Allergic reactions, cutaneous necrosis, and pigmentary changes were not observed. Sclerotherapy with 1.0% polidocanol is considered an effective treatment for PGs in children. Early treatment was associated with a more favorable outcome.

Comparison of pyogenic granuloma excision using scalpel, electrosurgery and diode laser

Oral pyogenic granulomas, a common clinical condition, occurring in all age groups, and is seen frequently in females around the second decade of their life. It occurs as a sessile or pedunculated growth varies in color from red to purple. It is frequently seen on the marginal gingiva especially in the maxillary arch. Anterior teeth are more frequently affected then posteriors. They are commonly seen on the facial aspect and usually do not show radiologic findings. The treatment is surgical excision which was usually done with scalpel blade. However, with recent technological advances, excision can be done using electrosurgery and diode lasers. In the present case report, excision of pyogenic granuloma is done using scalpel, electrosurgery and diode laser. Keywords: Soft tissue lasers, Diode laser, Electrosurgery, Scalpel, Pyogenic granuloma

Hyperpigmentation of Skin (Melasma) with Solitary Oral Pyogenic Granuloma Lesion: A Case Report

The pyogenic granuloma is a relatively is an exaggerated tissue response to localised irritation or trauma.Histologically, pyogenic granuloma does not present as granuloma and is devoid of pus. It is filled with vascularchannels filled with inflammatory fluid, connective tissue with immature fibroblasts and inflammatory cellsscattered.It occurs most commonly in the gingiva and also lips, tongue and buccal mucosa are the othercommon sites. Melasma is a common skin condition hyperpigmentation of sun-exposed areas, especially onthe face which is usually light to dark brown, symmetrical and irregular in appearance. Although melasmacan affect all races and both sexes, it is more commonly seen in women of child-bearing age and in darkskinnedindividuals living in areas with intense ultraviolet (UV) radiation. Hyper pigmentation on exposedareas such as the face can be a source of cosmetic concern for patients, that can negatively impact qualityof life (QOL). The present case reports a localized inflammatory hyperplasia of the maxillary gingivalof a 38 year male patient who was suffering from melasma. Melasma is a disorder of hyperpigmentationwith psychological impacts affecting majorly the face. Excisional biopsy of the lesion revealed findingssuggestive of Pyogenic Granuloma. Excision of pyogenic granuloma may also predispose to recession ofinterdental soft tissue.

Combination of ligation and timolol before surgical excision of pyogenic granuloma.

Combination of ligation and timolol before surgical excision of pyogenic granuloma.

The management of mucogingival defect after excision of a pyogenic granuloma: 3-year follow-up

The pyogenic granuloma (PG) is an exuberant tissue response to local irritation or trauma. The young lesions are highly vascular, red or reddish purple, often elevated and ulcerated, and bleed easily. Older lesions tend to be more collagenized and pink in appearance. Despite the name, no pyogenic material or pus is found in the lesion. Treatment protocol of PG includes many options. However, surgical excision is the treatment of choice. Several others highlighted the extremely varied recurrence rates. This case report aims to present 3-year follow-up management of mucogingival defect following surgical excision of PG.

The Combined use of Diode LASER & Conscious Sedation in the Excision of Pyogenic Granuloma in A Nine-Year-Old Patient

This case report is to comprehensively review N2O/ O2 inhalational sedation in the context of conscious sedation for treating a nine-year-old patient with pyogenic granuloma. The excision was carried out by the use of diode laser. The six month postoperative follow up showed complete resolution of the lesion and increased patient acceptance for the future treatment. The use of laser minimizes the pain during the surgery and postoperatively and suturing was not required. Therefore this case report emphasizes the use of combined treatment modalities to increase patient comfort and to obtain a better function and aesthetics of the oral cavity.