The use of topical anesthesia in removal of port-wine stains in children.

Abstract

The control of pain associated with laser treatment of port-wine stains in children has been problematic. Using EMLA, a topical anesthetic, children can be treated with a significant reduction in laser-induced pain. In this prospective, double-blind, placebo-controlled, randomized trial of EMLA, 73 children (35 boys and 38 girls) ranging in age from 5 to 16 years with port-wine stains were treated. EMLA reduced mean pain scores 66% when compared with control subjects (p < 0.0001 for all three assessments of pain). Concordance between evaluators' and patients' assessment of pain scores correlated strongly (p < 0.001). Treatment with EMLA abolished pain in 40% of patients and the percentage of pain-free treatments increased from 10% to 52% (p < 0.001). EMLA is clearly effective in reducing or eliminating pain associated with laser treatment of port-wine stains in children.

• Authors: K A Sherwood
• Journal: The Journal of pediatrics (J Pediatr) Vol. 122 Issue 5 Pt 2 Pg. S36-40 (May 1993) ISSN: 0022-3476 [Print] United States
• PMID: 8487136 (Publication Type: Journal Article, Review)

Chemical References

• Anesthetics, Local
• Drug Combinations
• Lidocaine, Prilocaine Drug Combination
• Prilocaine
• Lidocaine

Topics

• Administration, Cutaneous
• Adolescent
• Anesthesia, Local
• Anesthetics, Local (administration & dosage)
• Child
• Child, Preschool
• Drug Combinations
• Female
• Hemangioma (surgery)
• Humans
• Laser Therapy
• Lidocaine (administration & dosage)
• Lidocaine, Prilocaine Drug Combination
• Male
• Prilocaine (administration & dosage)
• Skin Neoplasms (surgery)