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A histological evaluation of the surgical margins from human oral fibrous-epithelial lesions excised with CO2 laser, Diode laser, Er:YAG laser, Nd: YAG laser, electrosurgical scalpel and cold scalpel
Monteiro, Luis; Delgado, Maria- Leonor; Garcês, Fernanda; Machado, Mariana; Ferreira, Fernando; Martins, Marco; Salazar, Filomena; Pacheco, José-Júlio.
Afiliação
  • Monteiro, Luis; University Institute of Health Sciences. Medicine and Oral Surgery Department and Cancer Research Group-Instituto de Investigacao e Formacao avancada em ciencias e tecnologias da Saude (IINFACTS). Portugal
  • Delgado, Maria- Leonor; Cooperativa de Ensino Superior Politécnico e Universitário (CESPU). University Institute of Health Sciences. Pathology Department and Cancer Research Group - Instituto de Investigacao e Formacao avancada em ciencias e tecnologias da Saude (IINFACTS). Portugal
  • Garcês, Fernanda; Cooperativa de Ensino Superior Politécnico e Universitário (CESPU). University Institute of Health Sciences. Pathology Department and Cancer Research Group - Instituto de Investigacao e Formacao avancada em ciencias e tecnologias da Saude (IINFACTS). Portugal
  • Machado, Mariana; Cooperativa de Ensino Superior Politécnico e Universitário (CESPU). University Institute of Health Sciences. Pathology Department and Cancer Research Group - Instituto de Investigacao e Formacao avancada em ciencias e tecnologias da Saude (IINFACTS). Portugal
  • Ferreira, Fernando; Cooperativa de Ensino Superior Politécnico e Universitário (CESPU). University Institute of Health Sciences. Pathology Department and Cancer Research Group - Instituto de Investigacao e Formacao avancada em ciencias e tecnologias da Saude (IINFACTS). Portugal
  • Martins, Marco; University Institute of Health Sciences. Physisology Department. Portugal
  • Salazar, Filomena; Cooperativa de Ensino Superior Politécnico e Universitário (CESPU). University Institute of Health Sciences. Pathology Department and Cancer Research Group - Instituto de Investigacao e Formacao avancada em ciencias e tecnologias da Saude (IINFACTS). Portugal
  • Pacheco, José-Júlio; Cooperativa de Ensino Superior Politécnico e Universitário (CESPU). University Institute of Health Sciences. Pathology Department and Cancer Research Group - Instituto de Investigacao e Formacao avancada em ciencias e tecnologias da Saude (IINFACTS). Portugal
Med. oral patol. oral cir. bucal (Internet) ; 24(2): e271-e280, mar. 2019. tab, ilus, graf
Artigo em Inglês | IBECS | ID: ibc-180653
Biblioteca responsável: ES1.1
Localização: BNCS
ABSTRACT

Background:

We aim to evaluate the presence of histological artefacts in the surgical margins of human oral fibro-epithelial hyperplasias excised with lasers of different wavelengths, and also electrosurgical scalpel and cold scalpel. Moreover, we aim to determine if some of these instruments could impair the normal histological diagnosis of these lesions. Material and

Methods:

We included 130 consecutive surgical samples of 80 females and 50 males (mean age of 53.82±16.55) with a histological diagnosis of an oral benign fibrous-epithelial hyperplasias. The samples were categorized into 6 groups according to the type of instrument used CO2 laser group, diode laser group, ErYAG laser group, NdYAG laser group, electrosurgical scalpel group and cold scalpel group. Histological instrument-induced changes were microscopic evaluated and related with clinical and pathological variables.

Results:

The instrument with highest tissue damage extension (TDE) was the electrosurgical scalpel (1002.2μm±434.92), followed by diode laser (913.73 μm±322.45), NdYAG (899.83μm±327.75), CO2 laser (538.37μm±170.50), ErYAG laser (166.47μm±123.85), and at last with fewer alterations the cold scalpel group (2.36μm±7.27) (P < 0.001). The most regular incision was observed in CO2 laser group, followed by ErYAG laser, NdYAG laser, electrosurgical scalpel and diode laser group with the less regular incision using cold scalpel as comparison (P < 0.001). A correlation was found between the incision score and TDE (P < 0.001). Regarding histological diagnosis, no case showed any limitation of diagnosis related with the use of any instrument evaluated.

Conclusions:

Our results suggest that lasers can be used for the excision of oral benign fibrous-epithelial hyperplasias, without hispathological diagnosis limitations, as long as the physical properties of each laser are known and respected. ErYAG laser have shown to be a laser with few tissue damage extension and with good incision regularity, been a possible instrument of choice for the surgical removal of these lesions
RESUMEN
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Assuntos

Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Neoplasias Bucais / Neoplasias Epiteliais e Glandulares / Terapia a Laser / Margens de Excisão Limite: Adolescente / Adulto / Idoso / Feminino / Humanos / Masculino Idioma: Inglês Revista: Med. oral patol. oral cir. bucal (Internet) Ano de publicação: 2019 Tipo de documento: Artigo Instituição/País de afiliação: Cooperativa de Ensino Superior Politécnico e Universitário (CESPU)/Portugal / University Institute of Health Sciences/Portugal

Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Neoplasias Bucais / Neoplasias Epiteliais e Glandulares / Terapia a Laser / Margens de Excisão Limite: Adolescente / Adulto / Idoso / Feminino / Humanos / Masculino Idioma: Inglês Revista: Med. oral patol. oral cir. bucal (Internet) Ano de publicação: 2019 Tipo de documento: Artigo Instituição/País de afiliação: Cooperativa de Ensino Superior Politécnico e Universitário (CESPU)/Portugal / University Institute of Health Sciences/Portugal
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