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Management of atypical cellular angiofibroma arising in the oral cavity using Er, Cr: YSGG laser: a case report

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Abstract

Purpose

Cellular angiofibroma (CAF) is a rare mesenchymal neoplasm that usually arises in the genital region. It is comprised of cellular fibrous tissue stroma with an enhanced vascular component in the form of blood vessels with varying sizes. It is commonly treated by surgical excision. We report an atypical presentation of CAF in the oral cavity and discuss aspects related to its clinicopathological characteristics. Lasers are becoming widely used in the management of oral lesions due to their beneficial effects such as: less pain, bleeding, appropriate homeostasis, shorter recovery times, fewer analgesics used. This is the first case of CAF treated with laser.

Methods

The lesion was completely excised with Er, Cr: YSGG 2780 nm laser (WaterLase iPlus®, Foothill Ranch, CA, USA) with parameters (2.5 W, 40 Hz, air 20, water 40, H mode, tip MZ6). Histological examination and immunohistochemical interpretation were done revealing the diagnosis of CAF.

Results

There was less post operative pain and minimal bleeding to the patient with antibacterial effect. Also, there were no complications nor recurrence after two weeks and 6 months of follow up.

Conclusion

Laser offers a new and effective treatment of CAF develo** in the oral cavity.

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Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Oral Medicine, Periodontology, Oral Diagnosis and Oral Radiology Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt

    Sara S. Elessawey & Rania A. Fahmy

  2. Oral Pathology Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt

    Hagar A. El-Naggar & Nourhan A. Abou Madawi

Authors
  1. Sara S. Elessawey
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  2. Rania A. Fahmy
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  3. Hagar A. El-Naggar
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  4. Nourhan A. Abou Madawi
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Contributions

All authors contributed to the study conception and design. Sara S. Elessawey carried put the procedure under the supervision of Rania A. Fahmy. Histopathological examination and immunohistochemical interpretation were done by Nourhan A. Abou Madawi and Hagar A. El-Naggar. The first draft of the manuscript was written by Sara S. Elessawey and Nourhan A. Abou Madawi. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Sara S. Elessawey.

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Elessawey, S.S., Fahmy, R.A., El-Naggar, H.A. et al. Management of atypical cellular angiofibroma arising in the oral cavity using Er, Cr: YSGG laser: a case report. Laser Dent Sci 8, 35 (2024). https://doi.org/10.1007/s41547-024-00247-z

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  • DOI: https://doi.org/10.1007/s41547-024-00247-z

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