Percutaneous and combined percutaneous and intralesional Nd:YAG-laser therapy for vascular malformations.

Abstract

The numerous types of vascular abnormality are classified in groups according to their pathological and anatomical features. We present case histories of 2 patients who had vascular malformations of the face since birth or early childhood. Application methods, side-effects and complications of percutaneous and intra-lesional Nd:YAG-laser therapy are reviewed for these patients. A 54-year-old woman was treated percutaneously with the Nd: YAG-laser at 1064 nm, with 20 30 W, cw 1-5 s pulses and 2 - 3 mm spot size. A 59-year-old woman was treated with the combined percutaneous and intralesional laser therapy with 30 W, cw 1-5 s pulses and 2-3 mm spot size. In both cases, percutaneous or combined percutaneous and intra-lesional Nd: YAG-laser application resulted in a significant shrinking of the lesion. The Nd:YAG-laser radiation at 1064 nm presents an effective treatment of vascular malformations due to its deep penetration into the tissue. No standardized guidelines for Nd: YAG-laser therapy exist and the treatment parameters should be chosen individually according to the type of vascular malformation.

• Authors: M B Wimmershoff, M Landthaler, U Hohenleutner
• Journal: Acta dermato-venereologica (Acta Derm Venereol) Vol. 79 Issue 1 Pg. 71-3 (Jan 1999) ISSN: 0001-5555 [Print] Sweden
• PMID: 10086865 (Publication Type: Case Reports, Journal Article)

Topics

• Arteriovenous Malformations (surgery)
• Dermatologic Surgical Procedures
• Face
• Female
• Humans
• Laser Therapy
• Middle Aged
• Skin (blood supply, pathology)
• Skin Diseases, Vascular (surgery)