Forums › Erbium Lasers › General Erbium Discussion › Fibroma removal
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Glenn van AsSpectatorHi folks………here is one from today that I did with anesthetic. It was a biggie for me. THe patient was biting it all the time……..
It was a fibroma removal where the fibroma was 6mm in diameter and close to the commissure of the lip. It took around 30 secs to cut through it. I did use anesthetic for two reasons…..
1. It helps with hemostasis if you use the erbium.
2. The patient was very very nervous about feeling something. I think you can try these without anesthetic using EMLA but its tough to grab the fibroma with a hemostat and separate it from the underlying tissue.Well here is the link and I hope you enjoy it……
http://www.sendpix.com/albums/021217/2007520000029d37e47ce33e23661e/
If you care ( its not something I am big on) the fee for this service was around 250 dollars and the actual work took me very little time its the comforting of the patient , preop and postop that adds to it……(I gotta do something for the money I guess !)
Remember that is Canadian though so its probably worth a dime US!!
Grin
Glenn
I am gonna post a frenectomy case I did a month ago and show the healing as I took the braces off today.
Man I have been doing alot of soft tissue stuff this week.
Robert Gregg DDSSpectatorGlenn–
VERY nice case. VERY nice service. VERY nice value for service rendered.
I would have handled it the exact same way….just charged more.:biggrin:
Did I miss something? What is EMLA?
Bob
PatricioSpectatorGlen,
I have not done a fibroma but your work gives me confidence and a vision of what to expect. Thanks.
Pat
SwpmnSpectatorGlenn:
Great case and excellent service.
Bob:
EMLA is Eutectic Mixture of Local Anesthetic. Specifically it is a mixture of lidocaine and prilocaine developed to topically anesthetize the epidermis. EMLA is also the world’s greatest dental topical anesthetic.
Marketed by AstraZeneca International:
http://www.astrazeneca.com/mainnav1/s_products/s_ptherapy/s_pain/c_pain/emla.html
Al
Robert Gregg DDSSpectatorAlan–
Thanks!! I’ve never heard of it. I’ll check it out.
Bob
Glenn van AsSpectatorI have posted the healing photos and I thought this was the best healing I have seen in my 3 years doing lasers on soft and hard tissue. I got her in at 72 hours ( I usually do postop photos 6-7 days) because next week is Xmas holidays and we are off.
Glenn
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