Venous lake is a common vascular pathology, which is a type of angiomas and occurs as a result of significant dilation of blood vessels. The venous lake looks like a dark blue papule, soft to the touch, reaching a diameter of several millimeters.
Rice. 1. Venous lake is often found on the lower lip
Venous lakes are often multiple and are usually found on:
- Ears;
- Face;
- Lips;
- Neck.
More often, venous lakes appear in older and elderly people. The danger of a venous lake is that even a slight injury to its walls can lead to significant and prolonged bleeding.
Rice. 2. Venous lake often occurs as a result of trauma to the lower lip
On microscopic examination, the venous lake appears as a capillary aneurysm. Usually in the dermis it is possible to detect only one dilated vessel (vein or venule), which has very thin fibrous walls and a thin endothelial lining. With thrombosis of the vessels of the venous lake, its strong resemblance to melanoma may be noted, which is noted by many specialists.
Venous lake removal
Removal of a venous lake can be carried out in several ways:
- Removing a venous lake with a scalpel threatens bleeding during the procedure;
- Cryosurgery and excision of the venous lake with an electrocoagulator are highly traumatic and have a high probability of destruction of adjacent healthy tissue;
- Laser removal of venous lake should be considered the most effective.
Rice. 3. Stages of laser removal of venous lake on the lip
Introduction
An analysis of literary sources showed that in the structure of all human neoplasms, 29% are benign tumors and tumor-like formations of soft tissues of the face and neck. Among benign tumors of the soft tissues of the maxillofacial area, hemangiomas undoubtedly deserve special attention, which in 80% of cases are localized on the face and head.
In modern dentistry, there is a wide arsenal of surgical and conservative treatment methods for the treatment of hemangiomas. To remove hemangiomas, traditional surgical operations are used using a scalpel during surgery, cryodestruction, administration of sclerosing agents (70% alcohol, thrombovar, ethoxysklerol, fibrovein), diathermocoagulation, bucchitherapy (ultrasoft x-rays), close-focus radiotherapy, microwave hyperthermia, systemic and local administration of corticosteroid hormones and propranolol. A large number of the methods for removing hemangiomas proposed above have significant drawbacks in the form of risks of scarring complications and associated functional and cosmetic defects, which do not fully allow us to speak about the effective achievement of treatment results for this serious pathology.
Achievements and development of proprietary protocols in the field of laser dentistry have opened up new opportunities in the treatment of vascular anomalies. Modern diode lasers can generate light of a specific wavelength in a narrow part of the spectrum, which will correspond to the absorption line of a number of important chromophores (melanin, hemoglobin, water). In addition, modern dental diode lasers allow you to select the optimal radiation power and regulate the pulse duration.
Based on the study of the mechanisms of action of laser radiation on different types of biological tissue, depending on the wavelength, radiation power and pulse duration, we used the method of selective photothermolysis. The basis of this method is that by selecting the appropriate power and duration of the laser pulse, it is possible to achieve complete thermal damage to the tissue - the target subject to treatment, while minimizing thermal damage to the surrounding healthy tissue.
The introduction of a method of selective thermal ablation of pathological vascular formations localized on the red border of the lips, in our opinion, led to revolutionary changes in the treatment of this pathology.
Venous lake on the lower lip
Venous lake is often found on the lower lip. It looks like a painless soft nodule of dark blue color.
Rice. 4. Venous lake on the face
Typically, such venous lakes appear in people who are well over 40. However, there are known cases of the appearance of a venous lake at an early age. Often, a venous lake is formed as a result of an injury to the lower lip.
Rice. 5. Venous lake on the upper lip
Rice. 6. Venous lake on the neck
Rice. 7. Dermatoscopy of the venous lake
Laser removal of a venous lake on the lower lip is carried out in two stages:
Stage 1 - laser treatment of the venous lake is carried out at low power for several minutes, which ensures deep penetration of the beam into the angioma tissue and promotes the closure of the lumen of blood vessels and blood clotting.
Stage 2 - the walls of the venous lake and blood clots are removed.
Removal of venous lake is carried out using two types of lasers:
- Nd:YAG laser,
- Diode laser.
Rice. 8. Venous lake under a microscope
Rice. 9A. Venous lake before laser treatment
Rice. 9B. Venous lake after laser treatment
How long does it take for a bruise under the eye to last?
How long does it take? If after the blow you do not provide first aid and subsequently do not engage in treatment, a moderate or severe hematoma will disappear within a maximum of two weeks (plus or minus two to three days, taking into account individual physiological characteristics).
The speed of bruise resorption also depends on the time of year .
In hot weather, bruises take longer to heal. If a person immediately takes action and then treats the injury site with special ointments, the healing process takes from several days to a week .
Occasional mild hematomas, regardless of whether medications were used or not, usually resolve within three days.
How to reduce swelling after implantation
The main thing you need to do after implantation is to rest well and expect the outcome to be favorable. Your doctor performed the operation successfully, so now how the rehabilitation period goes depends only on you. Read our useful guide after dental implantation, which details what you need to prepare at home in advance and how to solve any problems that arise.
How to apply compresses? This is the most basic method that allows you to relieve tissue swelling. It is especially effective in the first day and even in the first hours after installation of implants.
Proceed as follows: use ice, a heating pad with ice water, or any food from the freezer. But don't overdo it, i.e. do not cause frostbite and tissue necrosis. The procedure is as follows: wrap ice in a towel or 2-3 layers of gauze/thin fabric, apply to the cheek on the side of the surgical intervention, hold for 5-10 minutes. The duration of the compress is 5-10 minutes, breaks are 3-5 minutes. The number of approaches is 7-10 times, for approximately 1.5-2 hours. Such courses can be repeated periodically during the first day.
How to eat properly to avoid swelling? In addition to solid foods (for any implantation protocols, even if the prosthesis was installed immediately), you must exclude excessively hot, spicy and salty foods, coffee, and spices from your diet. Caffeine, for example, increases blood pressure, which contributes to an even greater rush of blood to the head and, accordingly, increased tissue swelling.
Hot foods and drinks are prohibited, as they can lead to increased swelling. Hard - because they can injure the operated area and displace the installed implants. All of the above restrictions are in effect for a week.
Andrey Nikolaevich, 45 years old
“The operation went quickly for me, under anesthesia. I went home fully conscious and without much pain. I expected that when the anesthesia wore off, the pain would be unbearable, there would be severe swelling... Having covered myself with the recommended pills, I waited while I made compresses. The tablets were bought in vain. At night I slept as usual. In the morning I also didn’t experience anything special, there was almost no swelling. On the evening of the first day I came for my first fitting. On the third day, the prosthesis was installed - everything went perfectly!”
“If the doctor is a professional, then rehabilitation will take place very quickly, without pain and without swelling. Tested for myself! "
watch a video with the patient
How should you sleep after implantation? It is necessary to ensure the outflow of blood from the head; it is better to sleep with your head elevated. You can place several pillows under or on the mattress, thus increasing the angle of inclination. Many patients note that after surgery there is a feeling of pulsation in the head. Such a measure will also relieve such a symptom.
Is it possible to visit swimming pools and saunas? To relieve swelling, you need cold. Therefore, not only saunas and swimming pools are prohibited in the first week after installation of implants, but also long stays in a hot bath. It is better to limit yourself to a warm shower.
What medications will help against tissue swelling? After installation of the implants, the patient is prescribed drug therapy. We deliberately do not indicate the names of medications, because in each specific case medications are prescribed individually. But the complex necessarily contains anti-inflammatory and antihistamine drugs, which help reduce tissue swelling. Patients who have problems with the heart and blood vessels, high blood pressure, are also recommended to take appropriate medications.
On the 3rd day after implantation, the patient is scheduled for a preventive examination: the doctor will assess the condition of the tissues, the dynamics of healing and give the necessary recommendations. If you have doubts earlier, you should not wait for a scheduled visit; you can see a doctor earlier.
How to distinguish normality from pathology
On the one hand, tissue swelling is a normal consequence of the body, on the other hand, this symptom can become a manifestation of an inflammatory process that requires surgical therapy.
If the swelling does not have positive dynamics, that is, does not decrease 3-4 days after installation of the implants, if symptoms such as redness of the gums, monotonous or pain when pressing, increased body temperature, pus that is released from the area around the implant are added - all this speaks of a serious inflammatory process, i.e. peri-implant. And, most likely, implant rejection. If such phenomena occur, you should immediately consult a doctor.
You should also be wary of a situation where the swelling has already subsided, but reappears after some time. This situation again requires immediate consultation with a specialist.
Each patient of the Smile-at-Once clinic is assigned an individual manager, whom you can contact for advice in case of doubt. You will be connected with a doctor by telephone or an appointment will be made for an in-person appointment.
Pneumonia
This is one of the leading causes of child mortality. Unfortunately, pneumonia is very often diagnosed too late, on the 6-7th day of illness, when irreversible complications occur.
The symptoms of the disease are similar to the symptoms of ARVI, so if the temperature is low, parents do not take any measures, but simply wait for the child to recover. Pneumonia can occur without coughing or wheezing in the lungs, so even a pediatrician can miss it at home.
Article on the topic
Dangerous for babies. How to avoid pneumonia? Remember: if the child is weak, pale, sweats a lot, complains of chest pain when breathing and coughing, first of all you need to rule out pneumonia.
Another reliable symptom of pneumonia, by which the disease can be recognized even at an early stage, is shortness of breath.
The “gold standard” for diagnosing pneumonia includes general and biochemical blood tests, urinalysis, and chest x-ray.
Meningitis
The symptoms of meningitis are similar to those of a common ARVI, so doctors often diagnose the disease in children posthumously. The most striking sign of the disease is the “coping dog” pose. The child lies on his side with his head thrown back, his knees bent and his arms wrapped around himself; infants often experience convulsions. Meningitis is also characterized by increased sensitivity to light, sound and touch.
Without timely medical care, severe forms of meningitis can lead to death. To avoid tragedy, at the first symptoms of illness, the child must be immediately taken to an infectious diseases hospital.
Diabetes
The main signs of type 1 diabetes are sudden weight loss and severe thirst, which forces children to drink a lot and often run to the toilet. The onset of the disease is characterized by a change in appetite - the child may either refuse food or lash out at it (unfortunately, this is often attributed to the needs of a growing body). Diabetes is often accompanied by skin diseases - boils, eczema, fungal infections of the skin and nails.
If the diagnosis is not made in time (and this happens quite often, since there are no obvious signs of the disease), diabetic ketoacidosis and the accompanying disorder of consciousness can develop, up to the onset of coma - a condition in which the child can die.
No diabetes! What influences the development of the disease in children Read more
Symptoms of bruise
It is not always possible to independently distinguish a bruise from a closed fracture. It is believed that with mild injury, the pain becomes less pronounced 2-3 hours after the injury. But in reality, it often happens that a fracture hardly bothers you, but a bruise causes a lot of unpleasant sensations even in the second and subsequent days.
Main symptoms of bruise:
- strong pain;
- internal or subcutaneous hemorrhage;
- edema;
- decreased mobility of the damaged area.
Bruising and swelling may appear immediately after injury or several hours later. Their severity depends on the depth of the lesion. The pain intensifies with pressure, and swelling sometimes increases for several days. Since the signs of a bruise and a fracture are similar, it is better to conduct an X-ray examination to ensure the integrity of the bones.
