Comparative Analysis of Scalpel and Diode Laser Surgical Methods in Management of Traumatic Fibroma
Pallavi Deepakrao Patil *
Department of Oral Medicine and Radiology, Sinhgad Dental College and Hospital, Pune, India.
Bhakti Puranik
Department of Oral Medicine and Radiology, Sinhgad Dental College and Hospital, Pune, India.
Mahesh Chavan
Department of Oral Medicine and Radiology, Sinhgad Dental College and Hospital, Pune, India.
Priya Shinde
Department of Oral Medicine and Radiology, Sinhgad Dental College and Hospital, Pune, India.
*Author to whom correspondence should be addressed.
Abstract
Aims: To compare the clinical outcomes of conventional scalpel excision and diode laser ablation in the management of traumatic fibroma.
Presentation of Case: This report presents two cases of traumatic fibroma treated using different surgical modalities. In Case 1, a traumatic fibroma was excised using a conventional scalpel technique, resulting in complete lesion removal with satisfactory healing at 15 days and no recurrence at one-month follow-up. In Case 2, excision was performed using an 880-nm diode laser, which provided excellent intraoperative haemostasis, minimal patient discomfort, and rapid postoperative healing without scarring within eight days. Histopathological examination in both cases confirmed the diagnosis of traumatic fibroma.
Discussion: Both treatment modalities were effective in achieving complete lesion removal. However, diode laser excision demonstrated superior clinical advantages, including better haemostasis, reduced postoperative discomfort, and faster wound healing compared to conventional scalpel excision.
Conclusion: While both scalpel and diode laser techniques are effective for the management of traumatic fibroma, diode laser excision offers enhanced clinical efficiency and patient comfort, making it a valuable alternative for soft-tissue lesion management.
Keywords: Traumatic fibroma, irritation fibroma, diode laser, scalpel excision, soft-tissue surgery