Low-level laser as a complementary therapy in orofacial granulomatosis management: a case report

Publication date: Available online 1 March 2019Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Humberto Jácome-Santos, Renata Gonçalves Resende, André Myller Barbosa Silva, Aline Fernanda Cruz, Sérgio Henrique Tanos de Lacerda, Ricardo Alves Mesquita, Júlio César Tanos de LacerdaAbstractOrofacial granulomatosis (OFG) is a chronic inflammatory disease that typically affects the soft tissues of the orofacial region. The most common clinical manifestation of OFG is lip swelling, which may be associated with intrabuccal ulcerations and increased growth of the gingiva and mucosa, resulting in a cobblestone-like appearance, as well as cutaneous erythema and facial edema. The treatment for OFG is challenging and presents variable prognoses, which are sometimes considered unsatisfactory. Thus, this study presents a case report of OFG and the therapeutic regimen applied. A 47-year-old man presented with increased lip volume which had started 10 months earlier. His lips were thick with a fibroelastic consistency, which were painless upon palpation. Incisional biopsy and histopathological analysis of the upper lip revealed non-specific granulomatous inflammation. Hematological, serological and chest radiography showed no alterations. The patient reported no systemic changes, and inflammatory gastrointestinal and respiratory diseases were excluded. The diagnosis of OFG was subsequently made. Low-level laser therapy was successfully used to treat OFG...
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research