Management of Mucocele of the Glands of Blandin-Nuhn With a High-Intensity Laser: A Case Report

Introduction: The glands of Blandin–Nuhn are mucous and serous salivary glands situated on both sides of the midline of the ventral surface of the tongue. In this area, a mucocele generally results from trauma. The diagnosis of mucoceles is based on clinical and histopathological examinations and the recommended treatment is surgical excision. Case Report: This report describes a case of mucocele of the glands of Blandin-Nuhn (MGBN) affecting a 20-year-old male. Oval-shaped swelling with a smooth and bright surface of soft consistency was observed on the ventral surface of the individual’s tongue. The diagnostic hypothesis was mucocele. Surgical excision was performed in a single session with a diode laser. A histopathological examination revealed mucus extravasating into connective tissue, with foamy macrophages and granulation tissue. Conclusion: The high-intensity laser was a safe and effective tool for treating MGBN. No need for a suture, minimal or no intraoperative bleeding, and a minimal report of pain and edema by the patient were observed. A diode laser may be a helpful tool because it is less invasive and it is safe and effective.

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Long-term effect of high-intensity laser therapy for persistent shoulder pain: A case report

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-171044 ◽

2020 ◽

Vol 33 (6) ◽

pp. 947-951

Author(s):

Javier Aceituno-Gómez ◽

Venancio Miguel García-Madero ◽

Juan José Criado-Álvarez ◽

Jaime González-González ◽

Julio Gómez-Soriano ◽

...

Keyword(s):

Case Report ◽

Laser Therapy ◽

Shoulder Pain ◽

High Intensity ◽

Rating Scale ◽

Term Effect ◽

Long Term Effect ◽

High Intensity Laser ◽

Intensity Laser

BACKGROUND AND OBJECTIVE: This case report describes the long-term effect of the high-intensity laser therapy (HILT) in a patient with chronic shoulder pain refractory in comparison to other treatments. CASE DESCRIPTION: Ten sessions of HILT were applied in a thirty-one-year-old woman diagnosed with subacromial syndrome. Assessment was carried out through different tests: Shoulder Pain and Disability Index (SPADI), Numeric Pain Rating Scale (NPRS) and pressure pain threshold (PPT). All measurements were taken at four different points: at the end of the 10 sessions, after one month, three months after the intervention and nine months after the initial intervention. RESULTS: There was a clinically significant improvement in NPRS (decrease of 5 points), PPT (increase of 1.5 kg/cm2) and SPADI (decrease of 24 points) one month after the intervention. After three months, the increase of NPRS and SPADI required a 5-session intervention to support the clinical improvement. Six months after these booster sessions an increase in PPT and a decrease in NPRS and SPADI were observed. CONCLUSION: Results indicate the suitability of developing new research lines which will optimize the use of HILT.

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Photobiomodulation for Complex Regional Pain Syndrome: A Case Report and Literature Summary

OBM Integrative and Complementary Medicine ◽

10.21926/obm.icm.2104055 ◽

2021 ◽

Vol 6 (4) ◽

pp. 1-1

Author(s):

Megan Sweeney ◽

◽

Harold Kraft ◽

Keyword(s):

Case Report ◽

Complex Regional Pain Syndrome ◽

Laser Therapy ◽

High Intensity ◽

Pain Syndrome ◽

Therapeutic Options ◽

Range Of Movement ◽

Pain Condition ◽

High Intensity Laser ◽

Intensity Laser

Complex Regional Pain Syndrome (CRPS) is a highly debilitating chronic pain condition characterized by continuous regional pain disproportionate to duration and intensity of the initial damaging stimulus. In CRPS, abnormal perception, transmission, and modulation of pain by nerve cells and the autonomic nervous system induces extreme increases in perceived pain that may be accompanied by swelling, temperature sensitivity, color fluctuations, and/or skin changes. CRPS most commonly affects the extremities but may spread to other limbs or bodily locations. Since there is currently no cure for the underlying processes that play a role in causing this debilitating condition, therapeutic options seek to mitigate some of the symptoms of CRPS to improve quality of life. A recent systematic review found low-quality evidence of efficacy for all currently available CRPS treatments as well as a lack of consensus about first-line treatments. The pathophysiological complexity of CRPS, in addition to the lack of non-invasive, efficacious therapies for this extremely burdensome pain condition, highlights the vital need to explore novel therapeutic options in both research and clinical practice. Photobiomodulation through the repeated application of high-intensity laser therapy in a clinical setting has been shown to modulate nociception, minimize inflammation, and reduce different types of chronic and acute pain. The present case report describes a clinical protocol using laser therapy for CRPS, presents longitudinal pain scores, and summarizes mechanisms of action supporting the subsequent reduction of CRPS symptoms. After a series of laser treatments, the patient showed marked improvement in range of movement, hypersensitivity, pain, and function. Photobiomodulation through high-intensity laser therapy may represent a promising therapy for individuals affected by CRPS, although further randomized, controlled trials are recommended to evaluate efficacy on different disease-affected areas, assess dose-response relationships, and refine optimal treatment frequency.

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Rare Case of Childhood Lipoblastoma presenting as Tongue Mass

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2021.v29i1.403 ◽

2021 ◽

Vol 29 (1) ◽

pp. 113-117

Author(s):

Anand V ◽

Aishwarya Anand ◽

Manaswini Ramachandra ◽

Sridurga Janarthanan

Keyword(s):

Case Report ◽

Rare Case ◽

Histopathological Examination ◽

Surgical Excision ◽

Precise Location ◽

Recommended Treatment ◽

Complete Surgical Excision ◽

Imaging Characteristics ◽

Rare Benign Tumour ◽

White Fat

Introduction Lipoblastoma is a rare benign tumour arising from embryonic white fat been commonly noted in limbs and trunk, but tongue involvement is rare and has not yet been reported. Case Report A child with tongue lipoblastoma is reported, whose imaging reported an encapsulated, well-delineated, fat-containing tumour. Surgical excision was performed with no post-operative morbidities. Discussion Lipoblastoma is an uncommon childhood tumour, which rarely affects the tongue. It presents as a progressive painless swelling, rarely causing any symptom. MRI is helpful to assess the precise location and extent of the lesion. Although the ratio of fat to myxocollagenous tissue in the tumour is variable, the diagnosis can be suggested in most cases based on the imaging characteristics. Recommended treatment is complete surgical excision and confirmation of diagnosis by histopathological examination.

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