Fogorvosi szemle, 1990 (83. évfolyam, 1-12. szám)

1990-03-01 / 3. szám

Eddigi tapasztalataink alapján úgy látjuk, hogy a CC>2-lasersugár szájsebészeti alkalmazásának egyik legfontosabb területét a szájüregi leukoplákiák kezelése képezi.

IRODALOM: 1. Eánóczy J.: Oral leukoplakia. Akadémiai Kiadó, Budapest. 1982.

— 2. Bekke, J. P. H., Baart, J. A.: Six years experience with cryosurgery in the

oral cavity. Int. J. Oral. Surg. 8, 251, 1979. — 3. Burian, K., Höfler, H.: Klinische Erfahrungen mit dem C02 laser in der Otorhinolaryngologie. In: Keiditsch, E-,

Ascher. P. W., Frank, F.: Verhandlungsber. Dtsch, Ges. Lasermed. 2. 151. 1985.

— 4. Esser. E.: Therapie der intraoralen Leukoplakie Dtsch. Z. Mund-Kiefer-Gesichts-Chir. 3, 201, 1979. — 5. Frame, J. W.: Treatment of sublingual keratosis with the C02 laser. Br. Dent. J. 156, 243, 1984. — 6. Frame, J. W., Das Gupta, A.

R. , Dalton, G. A., Rhys Evans, P. H.: Use of the carbon , dioxide laser in the management of premalignant lesions of the oral mucosa. J. Laryngol. Otol. 98, 1251, 1984. — 7. Gáspár L., Szabó Gy.: A C02 laser kezeléssel szerzett tapasztalataink a szájsebészet terén. Orv. Hetil. 129, 403, 1988. — 8. Gáspár L., Szabó Gy.: Szájüregi precancerozisok és benignus elváltozások eltávolítása szén-dioxid laserrel. Magy. Onkológia 32, 189, 1988. — 9. Gáspár L., Szabó Gy.: Use of the C02 laser in Soft Tissue Dental Surgery. Proc. 13. th. Congr. IAMFS, Szcecin. 1988., p. 230. — 10. Gáspár L., Szabó Gy.: The use of C02 laser in the outpatient oral surgery. Las. Med. Sei. 3, 84, 1988. — 11. Gáspár L., Szabó Gy.: Laser surgery in the oral cavity and on the face. Acta Chir. Max. fac. (közi. alatt). — 12. Goode, R. L., Spooner, T. R.: Office cryotherapy for oral leukoplákia. Trans. Am. Acad. Opht. 75, 968.

1971. — 13. Hausamen, J. E.: The basis, technique and indication for cryosurgery in tumors of the oral cavity and face. J. Max. Fac. Surg. 3, 41, 1975. — 14. Horch, H. H., Gerlach, K. L., Schaefer, H. E.: CO2 laser surgery of oral premalignant lesions. Int. J. Oral Maxillofac. Surg. 15, 19, 1986. — 15. Mincer, H. H., Coleman,

S. A., Hopkins, K. P.: Observations on the clinical characteristic of oral lesions showing histologic epithelial dysplasia. Oral Surg. 33, 389, 1972. — 16. Panders, A.

K., Verschueren, R. C., Vermey, A., Oldhoff J.: Laser surgery for superficial lesions of the oral mucosa. Lasers in bio-medicine and surgery. Springer, Berlin, 1980. — 17. Pindborg, J. J.: Oral cancer and precancer. Bristol, Wright, 1980. — 18. Poswillo, D. E.: Evaluation, surveillance and treatment of panoral leukoplákia. J. Max. Fac. Surg. 3, 205, 1975. — 19. Rhys-Evans, P. H., Frame, J. M., Brandrick, J.: A review of carbon dioxide laser surgery in the oral cavity and pharynx. J. Laryngol. Otol. 100, 69, 1986. — 20. Roodenburg, J. L. N.: C02 laser surgery of oral leukoplákia. Thesis, Groningen, 1985. — 21. Sako, K., Marchetta, F. C., Hayes, R. L.: Cryotherapy for inraoral leukoplákia. Am. J. Surg. 124, 402,

1972. — 22. Schettler, D., Horch, H.: Langzeitbeochtungen nach Vitamin-A-Saure Therapie bei Leukoplákien der Mundschleimhaut. Forschr. Kiefer-Gesichts-Chir. 21, 179, 1976. — 23. Silverman, S. Gorsky, M., Lozada, F.: A prospective follow-up study öf 570 patients with oral lichen planus: persistence remission and malignant association. Oral. Surg. 60, 30, 1985. — 24. Sonkodi I.: Cryoterápia a sztomatoonkológiában. Kandidátusi Értekezés. Szeged, 1980. — 25. Tuffin, J. R., Carruth. J. A. S.: The carbon dioxide surgical laser. Br. Dent. J. 149, 255, 1980. — 26. Vedtofte, P., Holmstrup, P., Hjorting-Hansen, E., Pindborg, J. J.: Surgical treatment of premalignant lesions of the oral mucosa. Int. J. Oral Maxillofac. Surg. 16, 656, 1987.

Gápár, L. Dr. and Szabó, Gy. Dr.: Employment of carbon-dioxide laser in medical treatment of leukoplakia

Experiences obtained in the course of laser surgical treatment of 126 mouth cavity leukoplakias are summarized. The elaborated, differentiated method ensures, besides sofe removal of tissues infected by leukoplakia, a possibility for significantly preserving the functions of the mouth cavity. In case of simplex leukoplakia coagulation by means of defocused laser beam of 5 W energy, in case of verrucosus vaporization by means of focused beom of 10 to 15 W, and in erosiv cases excision in carried out by means of focused beom of 20 to 25 W energy. After laser treatment out of 126 patients 118 were free of symptoms. After operation emberging pain, oedema are minimal. (As a rule, the patients are capable of work the other day.) It is stated that the leucoplakias represent one of the most important fields of the oral surgical employment of the CO,2 laser beam.

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