The aim of the present study is to verify and prove the effectiveness of Nd:Yag laser in the treatment of patients with Sturge-Weber Syndrome, who are at increased risk of hemorrhage during gingivectomy for angioma removal.

Fig.1 – Frontal view, bilateral SWS with PWS involving nearly all facial skin Fig. 2 – Lateral view

The effectiveness of Nd:Yag laser was measured by treating several patients with Sturge-Weber Syndrome. In this case, a pulsing 1.064 µm Nd:YAG 10W (Laser Innovation, Rome, Italy) was used. A Nd:YAG laser unit with a fiber of 400 µm was used. In the first surgical phase, the laser parameters were: frequency 40 Hz, energy 130 mJ, power 4W. In the hemostasis phase, the laser parameters were: frequency 200 Hz, energy 20 mJ, power 4W. Total surgery time was approximately 2 hours.MATERIALS AND

Fig. 3 – surgical phase Fig. 4 – surgical phase

Besides improving the postoperative follow up and reducing the incidence of angiomas, Nd:Yag laser proved advantageous in improving surgical site visibility, bloodless and reducing the time of surgery, compared to traditional procedures. No obvious postsurgical bleeding was noted.

Fig. 5 – immediate post-surgical view Fig. 6 – frontal view, post-surgical site

In the light of the studies in literature, Nd:Yag laser, with its great hemostatic properties, is the right choice in the surgical treatment of patients at great risk of hemorrhage, such as patients with Sturge-Weber Syndrome.

Department of Odontostomatology and Surgery – Dept. Head: Prof. ssa D. De Vito

Calabrodental S.r.l. Operative Unit of Maxillo-Facial Surgery
Regione Calabria – Crotone

*Inchingolo A.M, Inchingolo F, Carbotti F, Cefola S., Serafini M., Inchingolo A.D, De Carolis M, Palladino A, Tatullo M., Marrelli M., Dipalma G.

De Benedittis M, Petruzzi M, Pastore L, Inchingolo F, Serpico R. Nd:YAG laser for gingivectomy in Sturge-Weber syndrome. J Oral Maxillofac Surg. 2007 Feb; 65(2):314-6.
De Benedittis M, Pastore L, Petruzzi M, Diplama G, Inchingolo F, Favia G, Serpico R. Massive oro-facial involvement in Sturge-Weber Syndrome. Journal of Oral Pathology & Medicine, 33, 519-520, 2004.
Inchingolo F, Tatullo M, Marrelli M, Inchingolo AM, Corelli R, Dipalma G. Comparison Between Traditional Surgery, Co2 And Nd:Yag Laser Treatment For Generalized Gingival Hyperplasia In Sturge-Weber Syndrome: A Retrospective Study. Journal of Investigative and Clinical Dentistry, 2010.
Onesti MG, Fioramonti P, Carella S, Spinelli G, Scuderi N. Surgical and laser treatment of Sturge-Weber syndrome. Aesthetic Plast Surg. 2009 Jul; 33(4):666-8. Epub 2009 Mar 19.


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