Port-Wine Stain—a Surgical and Psychological Problem

Malm, Mats; Carlberg, Margareta

doi:10.1097/00000637-198803000-00027

Cited by 32 publications

(34 citation statements)

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“…PWSs should not be considered a cosmetic problem per se but a disease with potentially devastating psychological and physical complications. Personality development is adversely influenced in virtually all patients by the negative reaction of others to a ''marked'' person [4][5][6]. In childhood, PWSs are faint pink macules, but the lesions tend to darken progressively to red-purple [7].…”

Section: Introductionmentioning

confidence: 99%

Comparing the effectiveness of 585‐nm vs. 595‐nm wavelength pulsed dye laser treatment of port wine stains in conjunction with cryogen spray cooling

et al. 2002

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Background and Objectives: The objective of this study was to compare the efficacy and safety of cryogen spray cooled laser treatment (CSC-LT) at wavelengths of 585 nm vs. 595 nm for port wine stain (PWS) birthmarks in a large series of patients. Study Design/Materials and Methods: A retrospective review was conducted of 64 patients with PWS treated with the ScleroPLUS 1 [Candela (Wayland, MA)] pulsed dye laser (l ¼ 585 or 595 nm wavelength; spot size 7 mm, t p ¼ 1,500 microseconds) over a 3-year period. Subjects' ages ranged between 3 months and 64 years; there were 42 females and 22 males, all of whom were Asian. Number of treatments ranged from 1 to 6. Duration of treatment ranged from 6 months to 2 years 11 months, with a mean of 12 months. Patients (n ¼ 32) received CSC-LT (585 nm) using radiant exposures of 7-10 J/cm 2 . A second group of patients (n ¼ 32) received CSC-LT (595 nm) using radiant exposures of 7-10 J/cm 2 . The primary efficacy measurement was the quantitative assessment of blanching response scores for CSC-LT (585 nm) versus CSC-LT (595 nm). Patients were monitored for adverse effects. Results: Based on chi-squared analysis, there were clinical, and statistically significant, differences in blanching response scores favoring PWS receiving CSC-LT (585 nm) as compared to CSC-LT (595 nm) (P < .001). Transient hyperpigmentation was noted in 43.7% (n ¼ 14) and 37.5% (n ¼ 12) of patients in the CSC-LT (585 nm) and CSC-LT (595 nm) groups, respectively. In both groups, transient hyperpigmentation resolved in all patients within 1 year. Permanent hypopigmentation or scarring was not observed in either group. Conclusions: CSC-LT (585 nm) resulted in superior blanching as compared to CSC-LT (595 nm). Further study is required to optimize wavelength selection on an individual patient basis during PWS therapy in order to improve treatment results.

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Section: Introductionmentioning

confidence: 99%

Comparing the effectiveness of 585‐nm vs. 595‐nm wavelength pulsed dye laser treatment of port wine stains in conjunction with cryogen spray cooling

et al. 2002

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“…1 Port-wine stain birthmarks are commonly found on the face and neck and, as such, may have serious psychological consequences. [2][3][4] Port-wine stain birthmarks do not involute over time (unlike hemangiomas) and, in fact, may hypertrophy in adulthood, resulting in increased disfigurement. For these reasons, patients or their families often seek treatment.…”

mentioning

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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“…Personality development is adversely influenced in virtually all patients by the negative reaction of others to a "marked" person. [9][10][11] PWS lesions are faint pink macules at birth, but can potentially darken progressively to reddish-purple color. [12] Subsequent hypertrophy of the soft tissue and the underlying bone can also further disfigure the facial features of many patients.…”

Section: What This Study Adds To the Fieldmentioning

confidence: 99%

Real-time photothermal imaging and response in pulsed dye laser treatment for port wine stain patients

Chang

et al. 2015

Biomed J

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Background: This study was performed to assess the photothermal response of highly focused laser energy using infrared thermal imaging instrument to detect and assess the actual temperature distribution during flash lamp pumped pulsed dye laser (FLPPDL) treatment for port wine stain (PWS) patients and avoiding its complications. Methods:A retrospective review of 40 patients with PWS birthmark treated with FLPPDL (l = 585 nm, tp = 1500 ms, 7 mm spot) was conducted over a 2-year period. Subjects' ages ranged between 28 and 46 years (mean 29 years); there were 24 females and 16 males. Twenty patients received non-cooling laser treatment (NC-LT) using light dosages of 5-12 J/cm

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Port-Wine Stain—a Surgical and Psychological Problem

Cited by 32 publications

References 0 publications

Comparing the effectiveness of 585‐nm vs. 595‐nm wavelength pulsed dye laser treatment of port wine stains in conjunction with cryogen spray cooling

Comparing the effectiveness of 585‐nm vs. 595‐nm wavelength pulsed dye laser treatment of port wine stains in conjunction with cryogen spray cooling

Description and Analysis of Treatments for Port-wine Stain Birthmarks

Real-time photothermal imaging and response in pulsed dye laser treatment for port wine stain patients

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