Tongue pyogenic granuloma excision by using ultrasonic scissors
Pyogenic granuloma develops as a mucosal reaction response to repeated trauma which can be a physical trauma or chronic infection in origin. In the oral cavity, pyogenic granulomas commonly occur on the gingiva owing to presence of chronic irritation by the calculus or foreign material in the...
Main Authors: | , , |
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Format: | Article |
Language: | English |
Published: |
Penerbit USM
2011
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Subjects: | |
Online Access: | http://irep.iium.edu.my/66489/ http://irep.iium.edu.my/66489/ http://irep.iium.edu.my/66489/7/66489%20Tongue%20pyogenic%20granuloma%20excision%20by%20using.pdf |
Summary: | Pyogenic granuloma develops as a
mucosal reaction response to repeated
trauma which can be a physical trauma or
chronic infection in origin. In the oral
cavity, pyogenic granulomas commonly
occur on the gingiva owing to presence of
chronic irritation by the calculus or foreign
material in the gingival sulcus (Akyol et
al., 2001). Tongue is relatively less
favorable site for this benign lesion.
Although the reason is unclear, the lateral
part of the tongue has more risk due to its
closer anatomical relation to the teeth or
dentures (Croton and Kale, 2003).
Surgical excision is the most common
treatment of these lesions. Various types
of techniques and instruments can be
used to excise the lesion. The most
commonly used are cold steel instruments
and diathermy techniques. A newly
developed tool, ultrasonic scissors which
are used in abdominal and thoracic
surgeries can be safely utilized to treat
this lesion on the tongue. A case of partial
glossectomy using harmonic instrument in
Malaysia was recently reported (Irfan et
al., 2011). Its use in benign tongue lesion
such as pyogenic granuloma is rarely
described. |
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