Knife or light? A case report of recurrent telangiectatic granuloma

• Author Details:   
• Nida Shah ^*
• Sonali Kadam
• J Anusree
• Shubhangi Patil

---

This paper intends to highlight the importance of LASERS (Light Amplification by Stimulated Emission of Radiation) in the treatment of recurrent telangiectatic granuloma.

A Diode soft tissue cutting LASER of 810 nm wavelength, 1.8 W, contact LASER was used in continuous mode to excise recurrent telangiectatic granuloma.

The lesion was successfully excised with no recurrence and postoperative complications thereafter.

Telangiectatic granuloma has a tendency to bleed profusely due to its rich vascular supply, with scalpel surgery handling of the tissue becomes cumbersome and there is an increased chance of leaving behind a tissue remnant leading to recurrence of the lesion if not excised or curetted completely. On the other hand, LASER has an advantage of much lesser intra operative bleeding making the procedure easier which enables to excise and curette the tissue completely and hence no recurrence. It does not need administration of local anaesthesia and application of sutures thus avoiding the use of needles. It is a painless, fearless and bloodless procedure. Hence, although scalpel (knife) can be used to excise the lesion, LASER (light) has many more advantages that makes it a preferred choice for the treatment.