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Case Reports
. 2023 Oct 11:2023:5583749.
doi: 10.1155/2023/5583749. eCollection 2023.

Dye Laser to Treat an Arteriovenous Malformation of the Tongue: 40-Month Follow-Up

Niccolò Giuseppe Armogida  1 , Luigi Esposito  1 , Elena Calabria  1   2 , Mariangela Cernera  1 , Gianrico Spagnuolo  1 , Flavia Iaculli  1
Affiliations
Case Reports

Dye Laser to Treat an Arteriovenous Malformation of the Tongue: 40-Month Follow-Up

Niccolò Giuseppe Armogida et al. Case Rep Dent. .

Abstract

Arteriovenous malformations (AVMs) are abnormal connections between blood vessels that bypass the normal capillary bed. To avoid the invasiveness of the gold standard surgical excision, the use of dye laser has been suggested as an alternative. A 53-year-old man in good overall health presented with a large bluish-red nodular growth covered by intact mucosa on the left side of his tongue. The growth had a hard-elastic consistency and was not painful to touch. Imaging investigations revealed a capsulated growth consistent with a diagnosis of AVM. The patient underwent two sessions of rhodamine dye laser treatment using the following parameters: fluence of 12 J/cm2, 6 mm laser spot, a single pulse with repetition up to 1.0 Hz, and a pulse duration of 3.0 ms. Follow-up examinations were conducted at 12, 24, 36, and 40 months after the treatment. At the 40-month follow-up, the lesion had reduced in size, with a more organized vascular network, and was not clinically detectable. Considering the limitations of this case report, the application of dye laser appears to be a potentially successful treatment option for AVMs.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Clinical appearance of the AVM: (A) preoperative optical findings; (B) optical findings at 1-month follow-up and immediately before the second laser session; (C) 12-month follow-up; (D) 24-month follow-up and after the injection of the triamcinolone acetonide; (E) 40-month follow-up.
Figure 2
Figure 2
Color/power Doppler imaging of the AVM: (a) baseline; (b) 12-month follow-up; (c) 24-month follow-up; (d) 40-month follow-up.
See this image and copyright information in PMC

References

    1. Steiner J. E., Drolet B. A. Classification of vascular anomalies: an update. Seminars in Interventional Radiology . 2017;34(3):225–232. doi: 10.1055/s-0037-1604295. - DOI - PMC - PubMed
    1. Schobinger R. A., Schobinger R. A. Diagnostische und therapeutische moeglichkeiten bei peripheren angiodysplasien. Helvetica Chirurgica Acta . 1971;38:220–313. - PubMed
    1. Gilbert P., Dubois J., Giroux M. F., Soulez G. New treatment approaches to arteriovenous malformations. Seminars in Interventional Radiology . 2017;34(3):258–271. doi: 10.1055/s-0037-1604299. - DOI - PMC - PubMed
    1. Cho S. K., Do Y. S., Shin S. W., et al. Arteriovenous malformations of the body and extremities: analysis of therapeutic outcomes and approaches according to a modified angiographic classification. Journal of Endovascular Therapy . 2006;13(4):527–538. doi: 10.1583/05-1769.1. - DOI - PubMed
    1. Yakes W., Baumgartner I. Interventional treatment of arterio-venous malformations. Gefaesschirurgie . 2014;19(4):325–330. doi: 10.1007/s00772-013-1303-9. - DOI

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