Efficacy of diode lasers in oral verrucous hyperplasia: A case series

Aditya Mohan Alwala; Arvind UD; Kasireddy Shravan Kumar; Kranthi Kiran; B Hari Vinay; Lakkaraju Ravindra Babu

doi:10.4103/njms.NJMS_49_19

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CASE REPORT

Year : 2022 | Volume : 13 | Issue : 1 | Page : 121-124

Efficacy of diode lasers in oral verrucous hyperplasia: A case series

Aditya Mohan Alwala¹, Arvind UD², Kasireddy Shravan Kumar³, Kranthi Kiran⁴, B Hari Vinay⁵, Lakkaraju Ravindra Babu⁶
¹ Department of Oral and Maxillofacial Surgery, MNR Dental College, Sangareddy, Telangana, India
² Department of Oral and Maxillofacial Surgery, S. Nijalingappa Institute of Dental Sciences and Research Centre, Palakurthy, Kanagam, Hyderbad, Telangana, India
³ Department of Oral and Maxillofacial Surgery, Malla Reddy Institute of Dental Sciences, Palakurthy, Kanagam, Hyderbad, Telangana, India
⁴ Department of Oral and Maxillofacial Pathology, Malla Reddy Institute of Dental Sciences, Palakurthy, Kanagam, Hyderbad, Telangana, India
⁵ Department of Oral and Maxillofacial Pathology, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Palakurthy, Kanagam, Hyderbad, Telangana, India
⁶ Dental Assistant Surgeon, CHC, Palakurthy, Kanagam, Hyderbad, Telangana, India

Correspondence Address:
Dr. Aditya Mohan Alwala
Department of Oral and Maxillofacial Surgery, MNR Dental College, Sangareddy, Telangana
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/njms.NJMS_49_19

Oral verrucous hyperplasia (OVH) is a potentially malignant lesion that may transform into an oral cancer. Cases without local metastases can be conservatively managed with local excision, laser therapy, photodynamic therapy, chemotherapy, etc. The aim of this article is to present a case series showing treatment outcomes of OVH excised with laser. A total of 5 cases of OVH diagnosed histologically were included. All the 5 cases were excised using a diode laser and the specimen was sent for histopathological examination. Histopathological examination of excisional biopsy specimen with adjacent normal epithelium result has shown to be verrucous hyperplasia excluding the chance of verrucous carcinoma in any of the case. All the 5 cases were followed up for 18 months. All the 5 patients have shown excellent healing and epithelialization by 1 month and have shown full range of healing by the end of 3rd month. There were no complications reported over a follow up period of 18 months. Verrucous hyperplasia is a challenging pathological state for success after excision. A high degree of chance for recurrence and scarring of the tissue compromises treatment outcomes. In our experience use of diode laser for excision has shown satisfactory healing with minimal scarring and there were no cases of recurrence after 18 months follow up.

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