Treatment of cutaneous hemangiomas in preterm neonatal twins with the flashlamp‐pumped pulsed dye laser

Abstract

Background and Objective:We report two cases of hemangiomas in twins born at a gestational age of 30 weeks who were treated with a flashlamp-pumped pulsed dye laser (FPDL) at 40 days postpartem. These were the youngest patients to our knowledge to be treated with FPDL.

Superficial Hemangioma: Pulsed Dye Laser Versus Wait-and-See

“…Several nonrandomized controlled trials have found that PDL is better than observation. [15][16][17][18][21][22][23][24][25][26][27][28] Batta and colleagues published their work in 2002 and stated that treatment using a 585-nm-wavelength PDL without epidermal cooling did not achieve significantly better results in the treatment of superficial hemangiomas and resulted in a higher incidence of skin atrophy and hypopigmentation. 29 Kono and colleagues showed that longpulsed dye laser (595-nm LPDL with epidermal cooling) was more effective and significantly safer than PDL.…”

“…Several nonrandomized controlled trials have suggested that PDL is better than observation. [22][23][24][25][26][27][28] It was hypothesized that using a 595-nm PDL and pulse widths of up to 40 ms with epidermal cooling would result in fewer side effects, better cosmetic outcome, and earlier remission than observation. We monitored the quality of life in parents and their opinions regarding the cosmetic outcome of the hemangioma.…”

Hemangiomatosis in Two Sets of Premature Twins

“…In previously reported cases of hemangiomas and other vascular anomalies seen in patients of multiple gestation, most commonly only one twin was affected, although there are several cases in which all of the siblings were affected. [22][23][24][25][26][27] (Table 1). In other reports of hemangiomas in twins, 26,[28][29][30][31][32][33][34][35][36][37][38] only one twin was affected ( Table 2).…”

Laser Treatment of Facial Vascular Lesions

“…42 Infants as young as 40 days postpartum have been treated without adverse effect. 43 The modified PDL at 595 nm and 1.5 msec also has been studied on 16 infants under 12 months of age with facial PWS. 26 The study found that 63% of patients had greater than 75% lightening after four treatments with energy fluences of 11 to 12 J/cm 2 and dynamic cooling.…”