Interventional carbon dioxide laser surgery is the preferred method to treat oral precancerous lesions and early invasive squamous cell carcinomas (SCCs). Little is known, however, about the complications that patients experience after such treatment. We retrospectively reviewed the hospital records of 82 patients with new dysplastic oral lesions or early invasive oral SCCs treated by laser surgery in the maxillofacial unit at Newcastle General Hospital. The most common postoperative complications were pain for more than two weeks after operation (n = 28), bleeding (n = 4), difficulties with speech (n = 5), paraesthesia of the lingual nerve (n = 17), difficulty swallowing (n = 2), obstructive swelling of the submandibular gland (n = 22), and tethering of the tongue (n = 10). Overall, 78% of patients had one or more complication. In the absence of randomised controlled trials, this study provides the best available evidence for complication rates following interventional surgery. In addition to aiding in the preoperative counselling of patients, the data will help to inform and advise patients particularly during the immediate postoperative period.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to British Journal of Oral and Maxillofacial Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Factors affecting carbon dioxide laser treatment for oral precancer: a patient cohort study.Lasers Surg Med. 2009; 41: 17-25
- Interventional laser surgery: an effective surgical and diagnostic tool in oral precancer management.Int J Oral Maxillofac Surg. 2002; 31: 145-153
- Management of potentially malignant disorders: evidence and critique.J Oral Pathol Med. 2008; 37: 63-69
- Complications of CO2 laser procedures in oral and maxillofacial surgery.Oral Maxillofac Surg Clin North Am. 2004; 16: 289-299
- Lasers in oral and maxillofacial surgery.Dent Clin North Am. 2000; 44: 851-873
Published online: February 03, 2012
Accepted: November 15, 2011
© 2011 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.