Hemangioma Removal with PerioLase Nd:YAG laser

[raydonato42276]

eating dirty pussy !!!

[Starfire7888]

The only discomfort I see if the way how the doctor is man-handling the patients mouth..... I mean yes there is anesthesia but u can take it easy and not rip his entire mouth off!!!

[TheAmericanFreeBird]

WHY THE F IM WATCHING THIS ???

[DooMSandro]

Is he die?

[klokacka22]

OMG o.o what is that ?

a finger or what

[bilav11]

@klokacka22 lol its a mouth

[CleanPoison]

does this hurt? :S to burn away it?

[DrHaddix]

@CleanPoison This procedure is performed with topical and/or local anesthesia, so there is no discomfort during the procedure, and I've had no patients personally report any postoperative discomfort at all.

[FletchRDG]

Ive got multiple hemangiomas on and in my right leg, Im led to believe this is a rarer occurance due to it commonly being found on the face. How would this work up against much larger internal cases?

[DrHaddix]

@FletchRDG Fletch, these lasers are actually being used to perform just such procedures on large area blood lesions including port wine stains, hemangiomas, and birthmarks.

[FletchRDG]

@DrHaddix well my hemangioma spans most the length of my leg. From mid thigh to mid shin. Now I had a procedure to remove the vessels but also they took alot of muscle too. 1 operation when I was 8 (15 years ago) and the last operation when I was 11 (12 years ago) after that operation I was fairly active and running around but reaching 12 and a half I started getting pains mid and lower thigh. Since then Ive had constant pain and cant run, Im nearly 23 now. Recently my GP has said they've return

[DrHaddix]

@FletchRDG Fletch, I'd recommend that you seek out a dermatologist who advertises laser vein removal; if they can't treat you, hopefully they could direct you to someone who can.

Man, I can't imagine removing muscle tissue to eliminate an epithelial problem - that must have been done some time ago.

[FletchRDG]

@DrHaddix yep1999 and abit further back in 1996. Im seeing a medical professor, recently Ive talked to a registra, a consultant and a surgeon and they've come to the conclusion that the operations have perhaps made things worse. Ive had MRIs and recently an angiogram to show up the veins and take pictures. The hemangioma has come back but in multiple places. Now the only places that hurts constantly is behind the thigh and on the side where my scars are. ill continue in a PM if you'd like.

[DrHaddix]

@FletchRDG Fletch, not only might treatment with a laser similar to this (free running pulsed ND:YAG) help with the new vascular lesions, but these treatments could actually help with the pain. These lasers have the ability to reduce and/or relieve pain from nerve damage, which may very well be why your thigh hurts.

[FletchRDG]

@DrHaddix Ill make an enquire about it, Im seeing a Professor about it. Im also having anther MRI scan of it. Also I have to say that the scar tissue is quite sensitive, now Im lead to believe that a few nerves were trapped in the scar but as Id of grow wouldnt the nerves have withered away? Ive always thought it was something to do with nerves and preasure. Perhaps the blood vessels putting more preasure on those nerves if I exercise making it even more painful, which it has done in the past.

[linkfreak210]

wow, that got cleared up pretty fast! i bet that guy was so relieved to get that out of his mouth. how is Hemangioma caused? or am i being stupid and there is no real cause -.-'

[DrHaddix]

@linkfreak210 These are more accurately called hemangioceles; they are caused by trauma, in this case, biting the inside of the lip. A hemangioma is a vascular lesion that is expansile, neoplastic, or congenital, or a combination thereof.

You are absolutely not being stupid. That job is seemingly adequately handled by "SuperRayRay19".

[ShugoCharaDia316]

@DrHaddix After what you said im scared. I have bitten my lip and there is like a bump in my mouth. Im afraid that i might have this :(

[shaydee971]

porque se pone blanco tan rapido ?

[TheGTAMature]

es Rayos X

[TheHealthVision]

Looks cool.

[kibamaya99]

can some of this removal has a side effects?

[DrHaddix]

@kibamaya99 To my knowledge and experience, no. There are no lingering effects from the laser and properly done, the lesions heal in such a manner as to leave no significant trace of their presence.

[kibamaya99]

@DrHaddix Okay. thank you so much for answering my question. =)

[lilmisse1234]

Is this done by a Doctor or a dentist?

[gamefreakydude]

I don't know for sure, but I would guess doctor because dentists only do teeth.

[lilmisse1234]

Either way, I wouldn't want to be a doc/dentist for this guy. Soooo nasty!

[DrHaddix]

@lilmisse1234 This procedure is commonly performed by dentists; dermatologists are also likely to offer this service.

[just1087]

for those who are dissin this vid. what about all the doctors who watch these for medical training what would happen if you had to go threw this. but their were no medical educational viewings to go by get a life.

[DrHaddix]

Amazing how advances in medical technology attract the lowest common denominator in society.

[lilmisse1234]

LOL

[globalsurfer08]

that mouth looks fucking nasty

[DrHaddix]

Hmmm. Not the only nasty mouth here. AAt least this patient was intelligent and polite. What's your excuse?

[llafeuil]

total respects...

[KelBell14]

PLEASE ANSWER THIS!!

I have braces, and they just tightened a special wire to make two spaces come together, but my gum is coming down in the space, when my teeth are pulling together! Is that normal??

[parengbochog]

yes its normal, they can do a gingivectomy after your braces....

[caelestic]

Do you still have your wisdom teeth?

[PreistessAmylees]

its normal because mine did the same thing. Its just ur gums swelling because they arnt used to ur teeth moving itt'll go away in a couple weeks

[aniiCORE]

es una boca!

[DrHaddix]

Un hombre inteligente de hecho!

[ekoglen]

Is that a penis?

[DrHaddix]

Amazing. You can type "penis" but you can't read the word "lip" in the video. I know the presence of teeth might confuse you to the exact anatomical location, but not being able to understand the written language.  Tragic.

[ddoratheo]

hahahahahhahaha

[celledge]

lmao dude

[Agresif]

awful disease.

[wika4wika]

its a little noiceable because it makes a sort of red splotch

[WorkJoker]

i can tell its a 'man' in his middle/older age.

[Jamerica9]

whaats the white skin after the welding thing? dead skin?

[DrHaddix]

I don't believe so. I believe it to be the coagulated blood under the skin; these areas typically heal without sloughing, indicating that the body is absorbing the coagulated (clotted) blood while maintaining a layer of vital tissue over it. Since vital tissue is 70% water, most of the laser energy passes through it without affecting it; what passes through is highly absorbed by the blood owing to pigment of hemoglobin, causing the clot and starting the healing process.

[grimheart395]

im only 11 and i have one on my bottom right lip is there anyway to get rid of it before it gets worse than it already is and interesting vid

[DrHaddix]

If the condition of your lip is the same as shown in the video, then a dentist or surgeon with the proper laser should be able to remove it. Have them view this video and feel free to contact me regarding the procedure. The smaller the lesion when treated, the quicker it resolves.

[Sunzie]

That was pretty interesting to watch

[deliicjja]

łeeeee !

[DrHaddix]

I'm not fluent in Russian dialect, but I believe I get the sentiment ;)

[TheOneAndOnlyMe92]

that must have been sore afterwards!

was that the inside of the lip?

[DrHaddix]

Believe it or not, there is little to no pain; the laser energy is absorbed by the blood in the lesion; unless the surrounding tissue is burned by the laser, my patients report no discomfort afterwards. I will say that these are small lesions; I have not yet treated anything larger than the size of a dime at this point. Yes, that is just inside the lip.

[JohnnyMacFartland]

Looks like thay are freesing it but it isnt that =)

[DrHaddix]

They are actually clotting under the heat of the laser. The trick is to select a laser setting that will coagulate the blood without burning the tissue; it's not that hard, in all honesty, and this particular laser makes it a very easy task.

[pencilfreak005]

how do you get these things?

[DrHaddix]

In this patient, and older adult, the cause is almost certainly trauma- biting the lip, etc. They can also be congenital, presenting on other areas of the body and can be known as "Port Wine Stain" or Sturge-Weber Syndrome. The illustrated lesions were small, however they can be larger, covering large portions of the skin or mouth.

[warhero296]

was that swealing on the first one?because i noticed you missed a purple spot.

[lubyser]

que estan haciendo ????

[pacheclandia]

pues dejalos no tenian nada que subir esta del asco wuac!!!!

[MetalLove44]

wow that looks hard

[DrHaddix]

Actually, it's technically one of the easier things we do with the laser, and as a patient, this is not hard at all.

[jupiter9j]

i have a hemangioma on the middle left side of my tongue that is pea size for about a year now. it hasn't grown(i don't think). i went to a maxillofacial surgeon and he recommended removal w/a scalpel. will this laser work to remove it or are there other options? thanks.

[DrHaddix]

The laser is the preferred method of removal, especially on the side of the tongue. The tongue has a lot of blood vessels which, if nicked with a scalpel, will bleed profusely; even and "uneventful" scalpel removal will be more painful and require sutures. In my opinion, this laser technique is the preferred method of removal for a hemangioma of the tongue. Good Luck.

[historymaker704]

sorry I ment cirgury

[DrHaddix]

Yes, this treatment will work for cavernous lesions; however larger lesions may require multiple treatments of small areas instead of attempting to treat the entire lesion at one time. Cavernous hemangiomas outside the mouth should be treated by qualified dermatologists or plastic surgeons.

[historymaker704]

hi, would this treatement work for cavernous hemangeomas also? if not, do you know of any treatment other than cirugy?

[DrHaddix]

Yes, this is treatment of lesions of the lip and cheek.

[neyo97]

is that a lip?

[stiffmeister75]

i think i have dat lol jk but thats gross

:0

[DrHaddix]

No, actually, "gross" is how these lesions were treated with a scalpel before the laser treatment became available ;)

Now that was gross, and I'm a doctor!

[Yuck46]

good god....

[SnOoPyBoyz]

omgosh what is this?!

[DrHaddix]

The purplish areas being treated are pools of blood and damaged blood vessels that can be a result of trauma or developmental abnormality. The infrared laser shown clots the blood and abnormal vessels, which the body then absorbs. Previously, surgery was required and not all lesions could be treated; the surgeries were understandably bloody.

[XxXIrishPwnXxX]

ew.

[Pimpalicious001]

i agree

[Rigerdaby]

Does this laser work on larger Hemangiomas on the neck?

[DrHaddix]

Not this particular laser, but a different version of the same wavelength of laser. Exact same color, just much larger beam area. It is also used for hair removal.

[sarahbelle78]

These laser surgeries are covered by most insurance in US. This particular laser is very hard to come by, especially in Canada. Also, hemangiomas are not caused by injury. Google Vascular Birtmark Foundation for accurate information. The term "Hemangioma" is HIGHLY overused.

[DrHaddix]

Hemangiomas can be both congenital/developmental or as a result of trauma. The term applies to both etiologies. The lesions shown being treated were certainly traumatic in origin. Larger lesions on the skin are treated with a similar laser.

[DrHaddix]

By the way, Sarah, after due consideration to your post, I believe you are correct, and the proper term for a traumatic lesion such as this would be "hemangiocele", as opposed to "hemangioma", a term implying an actively growing lesion. My regards.

[MandyBH25]

Wow, amazing.

What organ is that?

[DrHaddix]

These lesions are depicted on the lips, and are usually located from just inside the lips to anywhere on the cheeks, under the tongue, or the tongue itself.

[XxHenryDudexX]

What Is It Though... Great Docter Too:)

[DrHaddix]

Hemangiomas are localized pools of blood vessels that develop usually as a result of injury such as biting the lip. Besides being unsightly, they can bleed profusely if bitten. Previously, removal required a minor but blood surgical procedure requiring sutures. The laser allow the abnormal bllod vessels to be clotted through the overlying tissue, whereupon the body absormbs the clot naturally without the need for more painful and invasive surgery.

[Funkmajic]

In canada these surgeries would be covered. I hope one day USA will be too.

[jessakapandora]

yeah, we are lucky to live in Canada! USA should def. cover these surgeries.

[DrHaddix]

The last thing we want to see is a socialized system dictating the application and development of these techniques. This application grew out of innovation free from any governing influence. Canadians will be coming to the US to have this procedure done as the laser used is not available in Canada.

[arcunnin]

Give me a break. Yea, our health care system has some major flaws, but at least US medicine is ahead of the curve.

[sarahbelle78]

Thanks to doctors like you. My son had a nasal tip hemangioma and I'm so greatful for the technologies being used today.

[DrHaddix]

Thank you for the kind words Sarah; it's gratifying to see this technology benefit others.

[drabod]

wo0o0w... plz if u have video related to removal of gingival pigmentation by lazer--------plz upload it

[DrHaddix]

I don't have any videos of this procedure and I use a different wavelentgth laser, an Er:YAG @ 2940nm, to remove the epithelial layer containing the melanin. Please note that the pigmentation usually recurs within 2 years.

[easeofdisease]

wow! thats great you can get rid of it so fast! and your bill, 10,000.00 :)

[SarahInDaHouse]

kind of gross but thankfully u got it off...

[gotmyvanzonbutthey]

yikes ^^

[DrHaddix]

Actually, "yikes" is the term we reserved for how this used to be treated.