Painless Management of Speckled Leukoplakia using Cryosurgery.

Abstract
Cryosurgery is a well-known and well-documented treatment modality in orofacial lesions since 1960. According to review of literature various studies has already proved the efficacy of cryosurgery in leukoplakia.2,3 Cryosurgery was done for a male patient of age 38 years who was diagnosed with speckled leukoplakia on the left buccal mucosa (Figure 1). Cryosurgery was selected because of patients fear for scalpel surgery. The Patient was treated in outpatient department using liquid nitrogen and cryogun. Liquid nitrogen was sprayed directly into lesion using cryogun till ice ball was formed in the lesion (Figure 2). There was no intra operative or post-operative pain during cryosurgery and no anesthetic agents were used during treatment. The patient was recalled after 7 days and intra oral examination revealed a healing ulcer formation in the area of treatment (Figure 3). There was no pain or any symptoms on the site of treatment. The patient was recalled after 15 days of treatment, which showed healed ulcer and areas of re-epithelization (Figure 4). Patient compliance toward the treatment was good. The patient was advised to do review after 1-month.
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Citation
Valappila Nidhin J, Varma R Beena, Saddu Shweta Channavir, Shanmughan Aravind Meena. Painless Management of Speckled Leukoplakia using Cryosurgery. IJSS Case Reports & Reviews. 2015 July; 2(2): 26-27.