Abstract | BACKGROUND: OBJECTIVE: To evaluate the efficacy and safety of the Nd:YAG laser for the treatment of hypertrophic PWS. METHODS: In a retrospective cohort study, all hypertrophic PWS patients treated with the Nd:YAG laser between 2005 and 2011 were invited for follow-up. Clinical improvement was assessed using Physician Global Assessment ( PhGA) and Patient Global Assessment ( PGA). RESULTS: Assessment was obtained in 32 of 44 eligible patients (mean age 51.4 years), after a mean of 2.8 (SD ± 2.1) Nd:YAG laser treatments. Good or excellent improvement of hypertrophy was found in a majority of patients, both by PhGA (91%) and PGA (93%). Good or excellent improvement of colour was found in 63% of patients by PhGA, and in 87% by PGA. Recurrence of hypertrophy was seen in three patients. All but two patients would recommend Nd:YAG treatment to other patients. Mild to moderate scars were seen in seven patients, hypopigmentation in 14 patients. CONCLUSION: The 1064 nm Nd:YAG laser is highly effective in the treatment of hypertrophic PWS with only a few treatments needed. Mostly mild side effects were seen in half of all patients. Hypertrophy seems to respond better than colour. To further improve colour, a combination with pulsed dye laser treatment is advisory. Observation of immediate clinical endpoints is important when using the Nd:YAG laser, to optimize outcomes and reduce side effects.
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Authors | A M van Drooge, B Bosveld, J P W van der Veen, M A de Rie, A Wolkerstorfer |
Journal | Journal of the European Academy of Dermatology and Venereology : JEADV
(J Eur Acad Dermatol Venereol)
Vol. 27
Issue 11
Pg. 1381-6
(Nov 2013)
ISSN: 1468-3083 [Electronic] England |
PMID | 23094931
(Publication Type: Journal Article)
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Copyright | © 2012 The Authors. Journal of the European Academy of Dermatology and Venereology © 2012 European Academy of Dermatology and Venereology. |
Topics |
- Humans
- Laser Therapy
- Lasers, Dye
- Middle Aged
- Port-Wine Stain
(surgery)
- Retrospective Studies
- Treatment Outcome
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