Oral Hemangiomas Treatment

Medical device: CHEESE 7W 980nm (output power 1.5w-2w,CW )
Accessories:400um bare fiber,dental surgery handpiece with tips
Operation procedure:
Treatment was carried out in an outpatient setting solely using a topical anesthetic EMLA cream (lidocaine 2.5% and prilocaine 2.5%) for at least one hour under occlusion before treatment. For intra-oral portions of the lesions, topical anesthesia was applied before field-block local anesthesia injection, in a circular manner surrounding the lesion.
Cases were managed using CHEESE 7W with wavelength of 980nm,CW,1.5W-2W, 400um bare fiber, the spot size was 10mm. The laser spot was adjusted to include 1-2mm of the normal skin or mucous membrane beside the edge of the lesion within the active beam field to be sure that the outer edge of the lesion was radiated.
The laser was coupled to chilled air-cooling apparatus during radiation of skin lesions, but for the oral portion of the lesion,air cooling was not used because the forced cold air flow can causes breathing difficulty in some patients.Compression was done from inside the oral cavity to the outside during irradiation of the outer cutaneous side and from the outside to inside during irradiation of the mucous membrane portion of the lesion.
Result:
Results were considered excellent when there was complete resolution without any skin changes (no color or textural changes) and no recurrence of the lesion after follow-up.
Advantage:
Laser photocoagulation has been successful in the majority of patients, with minimal morbidity damage to the surrounding tissue. As the CHEESE dental diode laser is a deep photocoagulating laser, one that targets tissue protein, epidermal changes - and sometimes scarring - may result after treatment; thus, to minimize the cryogen cooling of the skin, application should aim to protect the epidermis and papillary dermis while achieving deep tissue photocoagulation during diode laser irradiation.