Effect of the Timing of Treatment of Port-Wine Stains with the Flash-Lamp–Pumped Pulsed-Dye Laser

Horst, Chantal M.A.M. van der; Köster, P.; Borgie, Corianne A. J. M. de; Bossuyt, Patrick M.; Gemert, Martin J. C. van

doi:10.1056/nejm199804093381504

Cited by 180 publications

(100 citation statements)

References 24 publications

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“…Many researchers, including us, believe that PWS birthmarks are more amenable to treatment at a younger age 24 ; however, this opinion is somewhat controversial. 25 Second, in our study, we included many patients with darker skin types. As described already, the absorption of laser energy by epidermal melanin inhibits light delivery to the targeted PWS vessels and, thus, darker skin types are generally more difficult to treat.…”

Section: Evaluation Of Current Pdl Treatmentmentioning

confidence: 99%

Description and Analysis of Treatments for Port-wine Stain Birthmarks

Kelly

Choi

McFarlane

et al. 2005

Archives of Facial Plastic Surgery

124

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Section: Evaluation Of Current Pdl Treatmentmentioning

confidence: 99%

Description and Analysis of Treatments for Port-wine Stain Birthmarks

Kelly

Choi

McFarlane

et al. 2005

Archives of Facial Plastic Surgery

124

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“…7,11 Although photographic images have been applied to determine the efficacy of laser treatment for PWS, great care must be taken to minimize the effects of variations in patient positioning, camera sensitivity and lighting during acquisition, and the quality of printing or visual display of the image. 12,13 To confound this further, communication of perceived color is difficult as, for example, most PWS skin may correctly be described as 'red' in color.…”

Section: Introductionmentioning

confidence: 99%

Simulating light transport through skin for color prediction of port wine stain lesions: a review

2012

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Abstract. A survey of the literature is presented regarding the simulation of port wine stain (PWS) skin color. Knowledge of PWS features, such as the depths and diameters of affected vessels, is essential for informing laser treatment. These may be determined through the inverse application of a skin model. The techniques which have been applied to achieve this are analyzed in detail. Radiative transfer (RT) is found to be the preferred method of simulation. By far the most common approximations to RT are the diffusion approximations, which have been applied successfully in the past and Monte Carlo techniques, which are now the methods of choice. As the requirements for improvement of laser treatment on an individual basis continues, the needs for further work towards accurate estimations of individual optical coefficients and robust, flexible simulation techniques are identified.

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“…It has become a widely accepted treatment for port wine stains (PWS), and is considered a safe and effective treatment, even in very young children [1][2][3][4][5][6]. Many reports have also noted success using PDL in the treatment of hemangiomas [1,[7][8][9][10][11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Complications following pulsed dye laser treatment of superficial hemangiomas

et al. 2006

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Background and ObjectivePulsed dye laser (PDL) has been reported to be safe and effective in the management of superficial hemangiomas of infancy. We report 12 patients with hemangiomas with complications following PDL.Study Design/Materials and MethodsRecords of patients with hemangiomas and a known adverse outcome following PDL were reviewed.ResultsAll were treated early (age range: 5 days to 4 months), and all hemangiomas were facial with a superficial component. Eleven were treated with a 585 nm wavelength, fluence range of 4.7–7 J/cm2, without dynamic cooling. One patient received 7–12 J/cm2 utilizing a 595 nm wavelength with dynamic cooling. In eight cases, treatment led to severe ulceration with subsequent pain, scarring, and in one instance, life‐threatening hemorrhage. In four, permanent atrophic scarring was noted without ulceration.ConclusionsPDL treatment of superficial hemangiomas may rarely lead to significant complications including atrophic scarring and severe ulceration. Lasers Surg. Med. 38:116–123, 2006. © 2006 Wiley‐Liss, Inc.

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Effect of the Timing of Treatment of Port-Wine Stains with the Flash-Lamp–Pumped Pulsed-Dye Laser

Abstract: We found no evidence that treatment of port-wine stains with the flash-lamp-pumped pulsed-dye laser in early childhood is more effective than treatment at a later age.

Cited by 180 publications

References 24 publications

Description and Analysis of Treatments for Port-wine Stain Birthmarks

Description and Analysis of Treatments for Port-wine Stain Birthmarks

Simulating light transport through skin for color prediction of port wine stain lesions: a review

Complications following pulsed dye laser treatment of superficial hemangiomas

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