Unifocal orofacial granulomatosis in retromolar mucosa:surgical treatment with Er,Cr:YSGG laser

摘要

Orofacial granulomatosis is defined by permanent or recurrent swelling of orofacial tissues with different multiformand multifocal clinical patterns. An 11-year old boy presented with a 2-month history of mucosa enlargement.Intraoral examination revealed an erythematous, polylobulated, exophytic lesion with a smooth surface located inretromolar mucosa, non-tender and non-infiltratated to palpation. The diagnosis was inflammatory lesion compatiblewith pyogenic granuloma and laser excision was decided. Haematological parameters were within normal range,as well as chest Xrays. These findings lead to a diagnosis of non-symptomatic orofacial granulomatosis, whoseearly diagnosis can minimize the impact of systemic-related disorders, like Chron's disease.