EVALUATION OF EARLY AND LONG TERM RESULTS OF THE TREATMENT OF MUCOCELE OF THE LIP USING 980 NM DIODE LASER

The objective The objective of this study is to compare the results obtained from treatment of mucocele with cold scalpel versus 980 nm diode laser . Introduction : Mucoceles are common benign lesions of the oral cavity that develop following extra vacation or retention of mucous material from salivary glands in the subepithelial tissue.Treatment may be performed by conventional surgery, cryotherapy and more recently laser surgery.Material and methods : In this study we report 20 cases with mucoceles of the lower lip treated in the Dental Clinic of the University of Tirana from January 2007 to January 2011, 10 of them are resected with a scalpel and 10 with 980 nm diode laser.We have documented the operative treatment and postoperative follow-up for each patients for the evaluation of early and long term results. Results : Diode laser surgery was rapid and bloodless.Postoperative period was without complication,after one month from the treatment with laser no scar formation was reported versus the cases treated with scalpel.After 1-3 years of follow-up no recurrence was recorded after laser surgery compared with 3cases of recurrence among the cases of conventional surgical removal of mucocele. Conclusion: 980 nm diode laser is a good modality for the treatment of mucocele´slip.This treatment provides satisfactory results and is also wellaccepted by all age groups

TREATMENT OF VASCULAR LESION OF LIP WITH 980NM DIODE LASER COMPARED WITH CONVENTIONAL METHOD

Introduction: Mulliken and Glowacki introduced a simple classification in 1982 that was based on the clinical, histochemical and cellular criteria to distinguish between the various vascular anomalies. They described two distinct entities which are haemangiomas and vascular malformations. Hence, they can be situated at different area of the oromaxillofacial region: tongue, lip, palate, buccal mucosa, and gingiva. Numerous method of treatment has been used such as cryotherapy, embolization, sclerotisation, cold scalpel and combination of these. Management of these lesions with laser is an option, and several laser systems have been developed using principles of selective photothermolysis. Thus, the clinical cases presented in this study are treated with 980 nm diode laser. Material and methods: In this study, we reported 60 cases with vascular lesions of lip treated in the Dental Clinic of the University of Tirana from May 2007 to May 2012. 30 cases were treated with 980 nm diode laser and 30 cases with scalpel. Thus, the operative treatment and post-operative follow-up for the evaluation of early and long term results was documented. All statistical test and graphics were created using SPSS for Medical Calculation (MedCalc). Data were expressed as mean –standard deviation and 95 % confidence interval and the statistical significance was estimated by Student´s t-test and p values< 0,05 were considered significant. Results: According the protocol research, the results of the two groups of population were compared as laser group and the control group. Diode laser surgery was rapid and bloodless. The wounds were healed without complications in two to three weeks depending on the size of the lesions. The parameters evaluated are: bleeding, pain, swelling, scar formation, functional disturbance, and recurrence. On the basis of the data collected from the laser group, no pain, or swelling were reported during the first week after intervention and from the control group, 22 of the patients reported pain and 20 referred swelling after the surgical excision. After one month of the treatment, no scar formation was reported from laser group and in the patients of control group, scarring was observed in the site of the performed excision. After 3 years of follow-up, no recurrence was recorded after laser surgery versus one case was treated with scalpel during the first year. No functional disturbance was recorded from the laser group versus 6 cases reported from the control group. Conclusion: 980 nm is a good modality for the treatment of vascular lesion of lip. This treatment provides satisfactory results, and is well accepted by all patients without compromising their health and functionality

Fractures of the Zygomaticomaxillary Complex and Their Treatment: A Case Report

Fractures of the zygomaticomaxillary complex are the second most common of all facial fractures. Several fixation methods have been used over the years, including wire osteosynthesis, lag screw fixation, transfacial Kirschner wire fixation, titanium plate and screw fixation, and more recently, resorbable plating system. Internal fixation with titanium plates and screw provides the most rigid fixation and thus greater immobility of the fracture segments. The degree of immobilization created with titanium plates and screws also allows fixation at fewer anatomic points

The 6th Albanian Congress of Trauma and Emergency Surgery

After a three-year quarantine from the deadliest global pandemic of the last century, ASTES is organizing to gather all health professionals in Tirana, The 6th Albanian Congress of Trauma and Emergency Surgery(ACTES 2022) on 11-12 November 2022, with the topic Trauma & Emergency Surgery and not only...with the aim of providing high quality, the best standards, and the best results, for our patients ...ACTES 2022 is the largest event that ASTES (Albanian Society for Trauma and Emergency Surgery) has organized so far with 230 presentations, and 67 foreign lecturers with enviable geography, making it the largest national and wider scientific event.The scientific program is as strong as ever, thanks to the inclusiveness, where all the participants with a mix of foreign and local lecturers, select the best of the moment in medical science, innovation, and observation.The scientific committee has selected all the presentations so that the participants of each medical discipline will have something to learn, discuss, debate, and agree with updated methods, techniques, and protocols.I hope you will join us on Friday morning, and continue the journey of our two-day event together