联合光疗治疗唇部坏死性病变

Elaine Aparecida Rocha Domingues, Lana Luiza da Cruz Silva, Marcelly Silva Dourado, Cintia Teles de Argôlo
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引用次数: 0

摘要

唇部坏死性病变疼痛难忍,愈合复杂,对患者的口腔状况有负面影响。本研究报告了一例下唇坏死性病变的临床病例,患者男性,38 岁,既往身体健康,在接种第一剂 SARS-COV-2 疫苗 5 天后,初步诊断为唇部带状疱疹,继发感染,临床治疗效果不佳。在对坏死组织进行清创后,联合使用了抗菌光动力疗法(aPDT)、光生物调节疗法(PBMT)和含银水纤维敷料,7 天后,患者的唇部病变完全愈合,口面部功能也得到了满意的恢复。根据本病例报告,这种联合光疗方法是治疗唇部坏死性病变的一种很有前途的手段。
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Combination of phototherapy for treatment of labial necrotizing lesion
Lip necrotizing lesions are painful, complex to heal, and negatively impact the patient’s orofacial condition. The present study reports a clinical case of a necrotizing lesion on the lower lip in a 38-year-old male patient, previously healthy, f ive days after receiving the first dose of the SARS-COV-2 vaccine, with an initial diagnosis of labial herpes zoster, with secondary infection and unsatisfactory response to clinical treatment. After debridement of the necrotic tissue, followed by a combination of antimicrobial photodynamic therapy (aPDT), photobiomodulation therapy (PBMT) and hydrofiber dressing with silver, the patient evolved with complete healing of the lip lesion and satisfactory restoration of orofacial functions after 7 days. According to the present case report, this combination of phototherapy modalities suggests to be a promising tool for the treatment of necrotizing labial lesions.
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