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National Journal of Maxillofacial Surgery
 
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CASE REPORT
Year : 2022  |  Volume : 13  |  Issue : 1  |  Page : 114-116

High-power laser for oral excisional biopsy in an oncologic patient with pancytopenia


1 Department of Dentistry, School of Dentistry, University of Santo Amaro, São Paulo, SP, Brazil
2 Unit of Bone Marrow Transplantation, Brazilian Cancer Control Institute, São Paulo, SP, Brazil
3 Department of Dentistry, Ibirapuera University, São Paulo, SP, Brazil
4 Department of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil

Correspondence Address:
Dr. Luana Campos
School of Dentistry, University of Santo Amaro, Rua Prof. Enéas de Siqueira Neto, 340 - Jardim Das Imbuias, São Paulo 04829-300
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njms.njms_439_21

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Oral surgical procedures are a great challenge in cancer patients, especially those with pancytopenia, given the risk of both hemorrhage and opportunistic infection. Thus, we report herein a case of a patient with refractory acute myeloid leukemia, severe pancytopenia, and some episodes of febrile neutropenia, who presented asymptomatic, bilateral lesions on the tongue, requiring excisional biopsy. Considering the high risk of bleeding, surgical intervention was proposed with a high-power laser (HPL) at the bedside. There was no considerable bleeding and stitches were not needed. Within 48 h postoperatively, the patient reported neither pain nor further bleeding and her tongue presented normal function. The patient was under a follow-up period of about 8 months, with no lesion relapse. The HPL seems to be of great value for preventing excessive bleeding and late infection in patients with pancytopenia submitted to minor oral surgeries.


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