Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

CO2 Laser Frenuloplasty: Advancing Minimally Invasive Techniques for Rapid Healing and Improved Patient Outcomes

Version 1 : Received: 31 December 2023 / Approved: 2 January 2024 / Online: 2 January 2024 (09:27:28 CET)

How to cite: Amato, S.; Nisticò, S.; Bennardo, L.; Pellacani, G.; Cannarozzo, G. CO2 Laser Frenuloplasty: Advancing Minimally Invasive Techniques for Rapid Healing and Improved Patient Outcomes. Preprints 2024, 2024010054. https://doi.org/10.20944/preprints202401.0054.v1 Amato, S.; Nisticò, S.; Bennardo, L.; Pellacani, G.; Cannarozzo, G. CO2 Laser Frenuloplasty: Advancing Minimally Invasive Techniques for Rapid Healing and Improved Patient Outcomes. Preprints 2024, 2024010054. https://doi.org/10.20944/preprints202401.0054.v1

Abstract

This study explores the innovative use of CO2 laser technology in frenuloplasty, a significant shift from traditional methods like scalpel surgery or electrocautery, towards a minimally invasive approach. The research involved 15 patients aged 25 to 50, undergoing frenuloplasty with a CO2 laser system equipped with a 7-inch defocused handpiece, set at 20Hz and 0.3W. This method diverges from conventional laser techniques, focusing on controlled laser passes combined with manual traction to elongate the fibrous tissue of the frenulum. The results demonstrated that the CO2 laser technique allowed for a precise and progressive modification of the frenulum, significantly reducing the risks of hemorrhage and secondary in-tention fibrosis. The healing process was notably expedited, with patients reporting satisfactory outcomes within a two-week period. Statistically significant improvements were observed in pa-tient-reported outcomes, as evidenced by the increases in the Short Form Health Survey (SF-12) scores, with the mean Physical Component Summary (PCS) score rising from 32.5 to 47.5 and the mean Mental Component Summary (MCS) score from 39.3 to 52.3 (p < 0.001 for both). The study concludes that CO2 laser frenuloplasty is an effective and safe technique, offering sub-stantial benefits in terms of reduced healing time and enhanced patient satisfaction. The signifi-cant improvements in SF-12 scores underscore the positive impact on patient quality of life, ad-vocating for the broader application of this technique in clinical practice. Further research is warranted to explore its potential in a wider clinical context.

Keywords

Co2 laser; Frenuloplasty; laser therapy; Minimally Invasive Surgical Techniques

Subject

Medicine and Pharmacology, Dermatology

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