Treatment of Lymphangioma with Nd:YAG Laser Irradiation: A Case Report

Objective: In this case report, the treatment of a buccal lymphangioma in a 9-year-old female was done using the Nd:YAG laser and the clinical outcome was evaluated. Background Data: The treatment of lymphangioma with the laser surgery using Nd:YAG and CO₂ laser has become favorable due of a lack of postoperative pain and hemorrhage. Methods: The lesion was treated with a pulsed Nd:YAG laser (d-lase 300, American Dental Laser, Detroit, MI). An exposure of 10 min each was performed at an interval of 10 days by the noncontact method with the energy density of 1 W, 10 Hz. Results: It was observed that there was a great reduction of the lesion and a considerable reduction of the external facial volume. As the excision of the lesion was avoided in our present study, there was no pain and hemorrhage. A remarkable reduction of the tumor size could be observed visually within the five laser exposures. Conclusions: It can be concluded that if Nd:YAG laser therapy is used for reducing the tumor size as a primary treatment, the operation becomes easy and the recurrence may be less than with the conventional treatment, and an option of a surgical or laser excision could be reserved.