Comparison of Intraoperative Bleeding During Excision of Benign Soft Tissue Oral Lesions Using Scalpel and Diode Laser.

Abstract

Objective: To compare the grade of intraoperative bleeding during excision of benign soft tissue oral lesions using scalpel and diode lasers according to Boezart et al bleeding scale.

Methodology: A single blinded randomized comparative trial was conducted over a span of one year at department of Oral and Maxillofacial Surgery, Shaheed Zulfiqar Ali Bhutto Medical University, PIMS Islamabad. A total of 128 patients with benign oral soft tissue lesions were selected and randomly divided into two groups Group A Scalpel and Group B Diode laser. Relevant history and clinical examination were carried out and recorded. Excision was carried out under Local anesthesia using diode laser and scalpel. The intraoperative bleeding grades were recorded in accordance with the criteria defined by Boezaart et al attached as Annexure A.

Results: The grade of bleeding between both groups was compared. A P value 0.05 was considered significant at 95% confidence level. Data was presented in the form of tables and graphs. The results showed that 66 male and 62 female patients. The average age of patients in group A was 32.38 and group B was 35.19. The most common site of lesion was lower lip in both groups. The average size of lesion in group A was 0.84cm and group B was 0.82cm. There was statistically significant difference in bleeding grade between two groups with group B (Diode laser) showing significantly less intraoperative bleeding compared with group A (Scalpel group).

Conclusion: It was concluded that diode laser effectively reduces intraoperative bleeding during excision of benign oral soft tissue lesions.

Methodology: A single blinded randomized comparative trial was conducted over a span of one year at department of Oral and Maxillofacial Surgery, Shaheed Zulfiqar Ali Bhutto Medical University, PIMS Islamabad. A total of 128 patients with benign oral soft tissue lesions were selected and randomly divided into two groups Group A Scalpel and Group B Diode laser. Relevant history and clinical examination were carried out and recorded. Excision was carried out under Local anesthesia using diode laser and scalpel. The intraoperative bleeding grades were recorded in accordance with the criteria defined by Boezaart et al attached as Annexure A.

Results: 

Conclusion: It was concluded that diode laser effectively reduces intraoperative bleeding during excision of benign oral soft tissue lesions.

Key words: Diode Lasers, Hemorrhage, Bleeding, Surgery, Oral