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Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 4, pp 547–556 | Cite as

A Comparative Evaluation of Surgical, Electrosurgery and Diode Laser in the Management of Maxillofacial Nevus

  • Manjunatha Reddy Bandral
  • Priyadarshani J. Gir
  • Sharanbasppa R. Japatti
  • Anuradha G. Bhatsange
  • Chidambar Y. Siddegowda
  • Reshma Hammannavar
Original Article
  • 49 Downloads

Abstract

Purpose

To compare the post-operative wound healing of patients treated for excision of the nevus/mole from maxillofacial region with surgical, electrosurgery and diode laser.

Materials and Methods

Forty-five clinically confirmed cases of benign nevus were included in the study and randomly divided into three groups according to the technique used for excision, i.e. Group A—surgical excision, Group B—diode laser and Group C—electrosurgery. Post-operative wound evaluation was done using Stony Brook scar evaluation scale on post-operative photographs taken on days 7, 21 and 90 (3 months).

Results

Statistically, there was no significant difference between the three techniques on post-operative day 90. Clinically, hypopigmentation was noted with diode laser and electrosurgical excision of benign nevus.

Conclusion

Since all three techniques yielded statistically comparable results, the patients can be given a choice of technique to undergo surgery. Surgical excision being the most cost effective and nil post-operative hypopigmentation may be the treatment of choice for majority of the patients.

Keywords

Mole Nevus Surgical excision Laser Electrosurgery 

Notes

Compliance with Ethical Standards

Conflict of interest

None.

Ethical Approval

This study was approved by the ethics committee of the Institution. All procedures performed in the study were in accordance with the ethical standards of the institutional ethics committee.

Informed Consent

Informed written consent was obtained from the patient included in the study.

References

  1. 1.
    Brons Rijnko (1998) Esthetics. Textbook of—facial harmony—standards for orthognathic surgery and orthodonntics, vol 1. Quitessence Publishing Co, London, pp 13–15Google Scholar
  2. 2.
    Ma Q, Hu Y, Jiang S, Meng L (2015) The undermining effect of facial attractiveness on brain responses to fairness in the ultimatum game: an ERP study. Front Neurosci 10(9):77Google Scholar
  3. 3.
    Scholz JK, Sicinski K (2015) Facial attractiveness and lifetime earnings: evidence from a cohort study. Rev Econ Stat 97(1):14–28CrossRefGoogle Scholar
  4. 4.
    Slater A, Quinn PC, Hayes R, Brown E (2000) The role of facial orientation in newborn infants’ preference for attractive faces. Dev Sci 3(2):181–185CrossRefGoogle Scholar
  5. 5.
    Rohrich RJ, Longaker MT, Cunningham B (2006) On the ethics of composite tissue allotransplantation (facial transplantation). Plast Reconstr Surg 117(6):2071–2073CrossRefGoogle Scholar
  6. 6.
    Niamtu J (2014) Esthetic removal of head and neck nevi and lesions with 4.0-MHz radio-wave surgery: a 30-year experience. J Oral Maxillofac Surg 72(6):1139–1150CrossRefGoogle Scholar
  7. 7.
    Sardana K, Chakravarty P, Goel K (2014) Optimal management of common acquired melanocytic nevi (moles): current perspectives. Clin Cosmet Investig Dermatol 7:89CrossRefGoogle Scholar
  8. 8.
    MacKie RM, English J, Aitchison TC, Fitzsimons CP, Wilson P (1985) The number and distribution of benign pigmented moles (melanocytic naevi) in a healthy British population. Br J Dermatol 113(2):167–174CrossRefGoogle Scholar
  9. 9.
    Ibrahimi OA, Alikhan A, Eisen DB (2012) Congenital melanocytic nevi: where are we now? Part II. Treatment options and approach to treatment. J Am Acad Dermatol 67(4):515-e1CrossRefGoogle Scholar
  10. 10.
    Reeck MC, Chuang TY, Eads TJ, Faust HB, Farmer ER, Hood AF (1999) The diagnostic yield in submitting nevi for histologic examination. J Am Acad Dermatol 40(4):567–571CrossRefGoogle Scholar
  11. 11.
    Jackson CR, Minca EC, Kapil JP, Smith SC, Billings SD (2016) Superficial malignant peripheral nerve sheath tumor with overlying intradermal melanocytic nevus mimicking spindle cell melanoma. J Cutan Pathol 43(12):1220–1225CrossRefGoogle Scholar
  12. 12.
    Wilford CE, Brantley JS, Diwan AH (2014) Atypical histopathologic features in a melanocytic nevus after cryotherapy and pregnancy. J Cutan Pathol 41(10):802–805CrossRefGoogle Scholar
  13. 13.
    Andrews MD (2004) Cryosurgery for common skin conditions. Am Fam Phys 69(10):2365–2372Google Scholar
  14. 14.
    Panagiotopoulos A, Chasapi V, Nikolaou V, Stavropoulos PG, Kafouros K, Petridis A, Katsambas A (2009) Assessment of cryotherapy for the treatment of verrucous epidermal naevi. Acta dermato-venereol 89(3):292–294CrossRefGoogle Scholar
  15. 15.
    Adeniran AJ, Prieto VG, Chon S, Duvic M, Diwan AH (2009) Atypical histologic and immunohistochemical findings in melanocytic nevi after liquid nitrogen cryotherapy. J Am Acad Dermatol 61(2):341–345CrossRefGoogle Scholar
  16. 16.
    Bansal A, Jain S, Gupta S (2012) Cryosurgery in the treatment of oro-facial lesions. Indian J Dent Res 23(2):297PubMedGoogle Scholar
  17. 17.
    Singer AJ, Arora B, Dagum A, Valentine S, Hollander JE (2007) Development and validation of a novel scar evaluation scale. Plast Reconstr Surg 120(7):1892–1897CrossRefGoogle Scholar
  18. 18.
    Erian A, Shiffman MA (eds) (2012) Advanced surgical facial rejuvenation. Springer, New YorkGoogle Scholar
  19. 19.
    Tursen U, Kaya TI, Ikizoglu G (2004) Round excision of small, benign, papular and dome-shaped melanocytic nevi on the face. Int J Dermatol 43(11):844–846CrossRefGoogle Scholar
  20. 20.
    Jain VK, Singhi MK, Goyal R (2008) Serial excision of congenital melanocytic nevi. J Cutan Aesthetic Surg 1(1):17CrossRefGoogle Scholar
  21. 21.
    Kilmer S, Chotzen VA, McClaren M (2000) Use of the LightSheer™ diode laser system for the treatment of benign pigmented lesions. Lumenis Inc.Google Scholar
  22. 22.
    Silverman EB, Read RW, Boyle CR, Cooper R, Miller WW, McLaughlin RO (2007) Histologic comparison of canine skin biopsies collected using monopolar electrosurgery, CO2 laser, radiowave radiosurgery, skin biopsy punch, and scalpel. Vet Surg 36(1):50–56CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2018

Authors and Affiliations

  • Manjunatha Reddy Bandral
    • 1
  • Priyadarshani J. Gir
    • 2
    • 3
  • Sharanbasppa R. Japatti
    • 2
  • Anuradha G. Bhatsange
    • 4
  • Chidambar Y. Siddegowda
    • 2
  • Reshma Hammannavar
    • 2
  1. 1.Department of Oral and Maxillofacial SurgeryGDC & RIBellaryIndia
  2. 2.Department of Oral and Maxillofacial SurgeryA.C.P.M. Dental College and HospitalDhuleIndia
  3. 3.PuneIndia
  4. 4.Department of PeriodonticsA.C.P.M. Dental College and HospitalDhuleIndia

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