Recurrent Pyogenic Granuloma caused by Intraosseous Vessel: A Case Report (original) (raw)
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Recurrent pyogenic granuloma treatment by feeder vessel cauterization with high power diode laser
Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology, 2017
Pyogenic granuloma is a traumatic lesion that affects the mucocutaneous tissues of oral cavity. It is more prevalent in gingival tissues and in young women. The purpose of this report is to present an atypical case where anatomical features, detectable only by complementary exams, implied on the recurrence of the lesion. A 21-year-old caucasian female presented a recurrent oral pyogenic granuloma after two excisional biopsies and curettage of the periosteum. A cone beam computed tomography revealed a feeder vessel in an intraseptal centered position, up to the base of the lesion. Therefore, the third surgery included the vessel cauterization with a high power diode laser. After one year of the third surgery, no recurrence was noted. This case reinforces the use of imaging exams to investigate the presence of intraosseous vascular networks associated to recurrent pyogenic granuloma, principally on the absence of significant local irritants, such as trauma and calculus, or systemic changes. After lesion removal, the cauterization of the feeding vessel with a high power laser is an efficient approach.
Pyogenic Granuloma - A Simple Treatment Approach with Sclerotherapy
2021
Pyogenic granuloma (PG) is a benign exophytic vascular tumor, which is actually a reactive inflammatory mass of blood vessels with few fibroblasts within the mucosa or skin, was first reported by Hullihen in 1844. Variety of treatment options such as surgical excision, laser treatment, electrodessication, chemical cautery, cryosurgery, intralesional steroid injection etc. are available, but many a times, recurrence has also been reported. Sclerotherapy is defined as the "targeted elimination of small vessels, varicose veins and vascular anomalies by the injection of a "sclerosant". It offers an alternative to conventional methods like surgery, lasers, radio frequency ablation and electrodesiccation procedure with success and less chance of recurrences. Herein, we present a case of 22 years old female with a clinical diagnosis of PG, treated with intralesional 0.2 ml of 3% sodium tetradecyl sulfate (STS). The lesion healed completely at the patient's 3 rd visit and recurrence was not reported till the patient was followed up for one year.
Resolution of recalcitrant pyogenic granuloma with laser, corticosteroid, and timolol therapy
Dermatology online journal
A pyogenic granuloma (PG) is a rapidly growing benign vascular tumor that can be found on the skin or subcutaneous tissue. While some pyogenic granulomas may resolve spontaneously, most have a tendency to bleed easily and require treatment. Current therapeutic modalities include topical imiquimod, cryotherapy, electrodessication, curettage, excision, laser therapy, sclerotherapy, and microembolization. We report a recalcitrant case of chronic pyogenic granuloma occurring on the scalp of a healthy young male which was unresponsive to conventional surgical and non-surgical modalities. Ultimately, aggressive laser therapy, intralesional triamcinolone acetonide injections, and topical timolol application led to complete resolution and healing.
Treatment of Pyogenic Granuloma using Er,Cr:YSGG Laser CASE REPORT
Pyogenic granuloma (PG) is a common, usually solitary, benign sessile or pedunculated vascular proliferation of the skin and mucous membranes, presenting as hemorrhagic growth, especially in children and women of reproductive age. The lesion is unrelated to infection and arises in response to various stimuli, such as low grade local irritation, traumatic injury or hormonal factors. This report presents a case of a 47 years old male with a PG in relation to lower anteriors. This lesion was removed using an Er,Cr:YSGG laser. The healing was uneventful and no suture or analgesic was required.
Pyogenic granuloma-a 19 months follow up case report
Update Dental College Journal, 2015
Pyogenic granuloma is one of the inflammatory hyperplasia seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality arises in response to various stimuli such as low-grade local irritation, traumatic injury or hormonal factors. Clinically, oral pyogenic granuloma is a smooth or lobulated exophytic lesion manifesting as small, red erythematous papules on a pedunculated or sometimes sessile base, which is usually hemorrhagic. The surface ranges from pink to red to purple, depending on the age of the lesion. Because of the high frequency of pyogenic granuloma in the oral cavity, especially during pregnancy, and necessity for proper diagnosis and treatment, a complete information and investigations about this lesion, in addition its treatment is presented. The study emphasizes the clinical follow-up after the treatment of patients that present pyogenic granuloma. Follow-up over 19 months of surgical procedures demonstrated the maintenance of a periodontal health decreases the chances of recurrence.
Pyogenic Granuloma: A Literature Review and A Case Report
European Journal of Dental and Oral Health
Pyogenic granuloma of the oral cavity is a common, non-neoplastic, vascular tumor. The etiology is not clear and it is suggested to be attributed to different factors. It might be caused by a reaction to a stimulus such as trauma, viruses such as HSV-1, hormonal changes, as well as other factors such as tooth eruption or medication. Clinically it appears as a painless tumor that tends to bleed easily, with red color and rarely may be accompanied by a periodontal abscess and bone loss. Biopsy is the most common tool used for the diagnosis. Its treatment is usually surgical excision and lately the use of lasers for its excision has emerged. Special care should be given to pregnant women where the treatment varies. The aim of this review is to present the background of oral pyogenic granuloma and the case report presents the situation, histological image and treatment of an adult woman patient.
Pyogenic granuloma. A case report
Journal of the American Podiatric Medical Association, 1973
Pyogenic granuloma is a fast growing reactive proliferation of endothelial cells commonly on the gingiva and usually in response to chronic irritation. It is a polypoid form of capillary hemangioma on the skin & mucosal surfaces. This paper present of case of pyogenic granuloma found on the cheek adjacent to retromolar region.
Treatment of Pyogenic Granuloma using Er,Cr:YSGG Laser
International Journal of Laser Dentistry, 2013
Pyogenic granuloma (PG) is a common, usually solitary, benign sessile or pedunculated vascular proliferation of the skin and mucous membranes, presenting as hemorrhagic growth, especially in children and women of reproductive age. The lesion is unrelated to infection and arises in response to various stimuli, such as low grade local irritation, traumatic injury or hormonal factors. This report presents a case of a 47 years old male with a PG in relation to lower anteriors. This lesion was removed using an Er,Cr:YSGG laser. The healing was uneventful and no suture or analgesic was required.
Journal of Indian Society of Periodontology, 2017
Pyogenic granuloma (PG) is a nonneoplastic, tumor-like growth commonly seen in the oral mucosa or skin. Although nonpathological, its existence might lead to complications such as secondary infections or diastema formation. Hence, surgical removal of the growth seems mandatory. Histopathologic and radiographic evaluation is essential for accurate diagnosis and to rule out malignancy. A 28-year-old systemically healthy female patient reported with a swelling which involved the interdental space of maxillary left central and lateral incisors. The lesion initially developed as a "pimple-like" swelling and gradually increased in size over 2 years. It was managed in a novel method by reflecting a papilla preservation flap, excising the lesion from inside the flap till healthy tissue was visible, and then exposing to diode laser to prevent recurrence. Subsequent histopathologic examination confirmed the diagnosis of PG. This novel, less invasive esthetic procedure employed a papilla preservation flap and laser irradiation technique. This simple modification not only helped in healing by primary intention and producing a good esthetic outcome but also showed no recurrence till date.