关键词: Biopsie CO2-Laser Papillom Schleimhaut Skalpell

Mesh : Humans Male Aged Lasers, Gas / therapeutic use Tongue Neoplasms / surgery pathology Papilloma / surgery pathology Laser Therapy / methods instrumentation Wound Healing / physiology

来  源:   DOI:10.61872/sdj-2024-04-02

Abstract:
A papilloma is a benign tumor arising from an epithelial surface. Mostly a papilloma appears as an asymptomatic intraoral lesion and is often associated with the human papilloma virus (HPV). In this case report two similar, verrucous papules, sessile bilateral on the back of the tongue, were surgically removed in a 65-year-old male patient. Thereby two different methods of treatment were compared. On the right side of the back of the tongue, excision by scalpel, as the gold standard treatment modality, was performed. On the left side a surgical removal by a CO2 laser was performed. In a photothermal procedure, without direct contact to the tissue, the laser beam is cutting through the mucosa. Secondary wound healing can take place. Both methods were compared in relation to their application, wound healing, quality of the biopsy and morbidity. Postoperative less discomfort and a slightly faster wound healing could be seen after scalpel removal. The histopathological examination was comparable for both methods.
摘要:
乳头状瘤是由上皮表面产生的良性肿瘤。大多数情况下,乳头状瘤表现为无症状的口内病变,通常与人乳头状瘤病毒(HPV)有关。在这种情况下报告两个类似,疣状丘疹,舌后的双侧无柄,一名65岁的男性患者被手术切除。从而比较两种不同的治疗方法。在舌头背面的右侧,用手术刀切除,作为黄金标准治疗方式,已执行。在左侧,通过CO2激光进行手术切除。在光热过程中,不直接接触组织,激光束穿过粘膜。可以发生二次伤口愈合。对这两种方法的应用进行了比较,伤口愈合,活检的质量和发病率。去除手术刀后,术后不适较少,伤口愈合略快。两种方法的组织病理学检查具有可比性。
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