Management of an Extensive Vascular Lesion on the Lip by Photocoagulation with High-Intensity Diode Laser

OBJECTIVE: Extensive vascular malformations (VM) pose difficulties for an effective management. INTRODUCTION: This article describes a very satisfactory result, both functional and aesthetic, following a management by the technique of photocoagulation using diode laser in an extensive VM lesion involving the lower lip and left buccal mucosa in a 25 year old male. CASE REPORT: The patient reported that the lesion had been present since birth. The whole treatment, carried out under local anesthesia, spread over 6 months since as many as 4 sessions of laser, with a 1.5-month interval in each, were required. The resting period between sessions played an important part in treatment by allowing a time for the recovery of the patient and the shrinking of the lesion. CONCLUSION: The patient had no complications during the laser sessions, and his postoperative period was uneventful. No recurrence has been seen after a 2.5-year follow-up.