Top

Published in:

01-09-2018 | Original Article

Prospective Evaluation of Surgical Outcome After Transoral CO₂ Laser Resection of Potentially Malignant and Early Oral Malignancy

Authors: Sahji Thomas, Vikram Singh Boparai, Virendra Kumar Tiwari, Bipin T. Varghese, P. G. Balagopal, Elizabeth Mathew Iype, Nebu Abraham George, Deepak Janardhan

Published in: Indian Journal of Surgical Oncology | Issue 3/2018

Abstract

A prospective observational study was done at the Regional Cancer Centre, Thiruvananthapuram, a tertiary referral center for cancer care in India with an aim to assess the surgical outcomes of CO₂ laser resection of oral lesions in terms of operative time, blood loss, hospital stay, postoperative pain, time to re-epithelization, pathological margins achieved and the postoperative scar. The excision was performed in 30 patients with a diagnosis of either potentially malignant lesions (leucoplakia, erythroplakia) or early cancers, i.e., carcinoma in situ or T1/T2 squamous cell carcinoma of the anterior oral cavity (tongue, buccal mucosa), adhering to standard oncological principles, and the resultant defect was left for secondary healing.

Available only for authorised users

Patel CK (1964) Continuous-wave laser action on vibrational-rotational transitions of C O 2. Phys Rev 136(5A):A1187–A1193CrossRef

Strauss RA (2000) Lasers in oral and maxillofacial surgery. Dent Clin N Am 44(4):851–873PubMed

Bornstein MM, Suter VG, Stauffer E, Buser D (2003) The CO2 laser in stomatology. Part 2. Schweizer Monatsschrift fur Zahnmedizin= Revue mensuelle suisse d’odonto-stomatologie= Rivista mensile svizzera di odontologia e stomatologia 113(7):766–785PubMed

Burkey MD, Garrett G (1996) Use of the laser in the oral cavity. Otolaryngol Clin N Am 29(6):949–961

Bornstein MM, Winzap-Kälin C, Cochran DL, Buser D (2005) The CO 2 laser for excisional biopsies of oral lesions: a case series study. Int J Period Restor Dentistry 25(3):221–229

Tuncer I, Özçakır-Tomruk C, Şencift K, Çöloğlu S (2010) Comparison of conventional surgery and CO2 laser on intraoral soft tissue pathologies and evaluation of the collateral thermal damage. Photomed Laser Surg 28(1):75–79CrossRefPubMed

Reibel J (2003) Prognosis of oral pre-malignant lesions: significance of clinical, histopathological, and molecular biological characteristics. Crit Rev Oral Biol Med 14(1):47–62CrossRefPubMed

Van der Hem PS, Nauta JM, Van der Wal JE, Roodenburg JL (2005) The results of CO 2 laser surgery in patients with oral leukoplakia: a 25 year follow up. Oral Oncol 41(1):31–37CrossRefPubMed

Ishii J, Fujita K, Munemoto S, Komori T (2004) Management of oral leukoplakia by laser surgery: relation between recurrence and malignant transformation and clinicopathological features. J Clin Laser Med Surg 22(1):27–33CrossRefPubMed

10.

Tambuwala A, Sangle A, Khan A, Sayed A (2014) Excision of oral leukoplakia by CO2 lasers versus traditional scalpel: a comparative study. J Maxillofac Oral Surg 13(3):320–327CrossRefPubMed

11.

Pinheiro AL, Frame JW (1996) Surgical management of premalignant lesions of the oral cavity with the CO2 laser. Braz Dent J 7(2):103–108PubMed

12.

Magalhaes-Junior EB, Aciole GT, Santos NR, Santos JN, Pinheiro AL (2011) Removal of oral lichen planus by CO2 laser. Braz Dent J 22(6):522–526CrossRefPubMed

13.

Hendrick DA, Meyers A (1995) Wound healing after laser surgery. Otolaryngol Clin N Am 28(5):969–986

Title: Prospective Evaluation of Surgical Outcome After Transoral CO2 Laser Resection of Potentially Malignant and Early Oral Malignancy
Authors: Sahji Thomas
Vikram Singh Boparai
Virendra Kumar Tiwari
Bipin T. Varghese
P. G. Balagopal
Elizabeth Mathew Iype
Nebu Abraham George
Deepak Janardhan
Publication date: 01-09-2018
Publisher: Springer India
Published in: Indian Journal of Surgical Oncology / Issue 3/2018
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI: https://doi.org/10.1007/s13193-018-0758-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Prospective Evaluation of Surgical Outcome After Transoral CO₂ Laser Resection of Potentially Malignant and Early Oral Malignancy

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2018

A Prospective Observational Study of Breast Lumps in Adolescent Girls: Tertiary Care South Indian Teaching Hospital Experience

From the Desk of the Editor

Identification of Sentinel Lymph Nodes Using Contrast-Enhanced Ultrasound in Breast Cancer

Numb Chin Syndrome as the Initial Manifestation of Breast Carcinoma

Quality Indicators for Sentinel Lymph Node Biopsy in Breast Cancer: Applicability and Clinical Relevance in a Non-screened Population

Infiltrating Lobular Breast Cancer Presenting as Isolated Gastric Metastasis: a Case Report