Partial re-emergence of a port-wine stain following successful treatment with flashlamp-pumped dye laser

Ozluer, Selim M; Barlow, R.J.

doi:10.1046/j.1365-2230.2001.00756.x

Cited by 9 publications

(4 citation statements)

References 11 publications

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“…Because it is well established that CM vessels continue to evolve with age, and even completely treated lesions may recur, it is possible that more superficial and larger vessels had developed in these malformations since their last treatment. 28,29 A number of other studies have also examined the effect of varying laser wavelength and pulse duration on the response to treatment of CMs. Greve et al examined 15 patients previously untreated patients and varied both wavelength and pulse duration.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Varying Pulse Duration, Wavelength, Spot Size, and Fluence on the Response of Previously Treated Capillary Vascular Malformations to Pulsed-Dye Laser Treatment

Sivarajan¹,

Maclaren²,

Mackay³

2006

Annals of Plastic Surgery

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Modern lasers allow different parameters to be altered in an effort to gain further improvement in otherwise resistant capillary vascular malformations (CMs). The aim of this study was to examine the effect of changing the pulse duration, wavelength, spot size, and fluence on the color and capillary architecture of 585-nm pulsed-dye, laser-resistant CMs. Eighteen patients were assessed with a depth measurement videomicroscope (DMV) before and after 12 test patches with ScleroPlus and V-Beam lasers at specified parameters. In the majority of the test patch areas, there was little improvement after treatment. However, 44% of patients had greater than 75% clearance in at least 1 test patch site. This study demonstrates that both lasers can achieve further lightening in 585 nm 0.45 msec pulsed-dye laser-resistant CMs. However, in CMs consisting of small-diameter deep vessels, further improvement is unlikely.

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Section: Discussionmentioning

confidence: 99%

The Effect of Varying Pulse Duration, Wavelength, Spot Size, and Fluence on the Response of Previously Treated Capillary Vascular Malformations to Pulsed-Dye Laser Treatment

Sivarajan¹,

Maclaren²,

Mackay³

2006

Annals of Plastic Surgery

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“…[42][43][44] In addition, recurrences of PWS after successful laser treatment are not an extremely rare event. [45][46][47] Proper patient preparation and realistic expectations are paramount to the success of the treatment. 34 Appropriate digital photographic documentation should be performed periodically and used to assess the treatment efficacy and guide the treatment.…”

Section: Medical History and Clinical Examinationmentioning

confidence: 99%

“…Patients with PWS located in certain locations (medial cheeks, upper lip, distal extremities) need even more additional treatments and may have incomplete clearing . In addition, recurrences of PWS after successful laser treatment are not an extremely rare event . Proper patient preparation and realistic expectations are paramount to the success of the treatment .…”

Section: Pre‐treatment and Post‐treatment Evaluation Documentation Amentioning

confidence: 99%

Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Adamič¹,

Pavlović

Rubin

et al. 2015

Acad Dermatol Venereol

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Aim Lasers and non-coherent intense pulse light sources (IPLS) are based on the principle of selective photothermolysis and can be used for the treatment of many vascular skin lesions. A variety of lasers has been developed for the treatment of congenital and acquired vascular lesions which incorporate these concepts into their design. Although laser and light sources are very popular due to their non-invasive nature, caution should be considered by practitioners and patients to avoid permanent side-effects. The aim of these guidelines is to give evidence-based recommendations for the use of lasers and IPLS in the treatment of vascular lesions. Results Lasers and IPLS are very useful and sometimes the only available method to treat various vascular lesions. It is of a paramount importance that the type of laser or IPLS and their specific parameters are adapted to the indication but also that the treating physician is familiar with the device to be used. The crucial issue in treating vascular lesions is to recognize the immediate end-point after laser treatment. This is the single most important factor to ensure both the efficacy of the treatment and avoidance of serious side-effects. Methods Conflicts of interestNone declared. Funding sourceNone.Since the publication of previous European Society of Laser Dermatology (ESLD) guidelines in 2007, there have been significant advances in the field of laser treatment of common vascular lesions.1 These guidelines have been updated by the Consensus Panel under the auspices of the ESLD. Methodology, search strategy and recommendation formulation are described in Appendix II. A brief overview of vascular lasersStandard vascular lasers include pulsed dye lasers (585 and 595 nm), and KTP-lasers (532 nm), followed by longer wavelength lasers such as alexandrite lasers (755 nm), diode lasers (800-900 nm) and millisecond Nd:YAG lasers (1064 nm). New developments include a non-uniform pulse sequence or a dual-wavelength modality (combined dual wavelength 595 and 1064 nm-pulsed dye and Nd:YAG laser) and microsecond Nd: YAG lasers. [2][3][4][5][6] Even fractional photothermolysis has begun to be used for selected vascular lesions. Lasers' and intense pulse light sources (IPLS) effects are based on the principle of selective photothermolysis. In general, they deliver a precisely graded aliquot of energy to a defined area of the skin in a reproducible, standardized manner that almost always involves addition or evacuation of heat. The greatestThe first two authors have contributed equally to the manuscript.

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“…Несмотря на то, что лазерная коагуляция остается пока единственным эффективным методом лечения «винных пятен», идет поиск новых технологий, позволяющих улучшить результаты лечения. Использование аппаратов с различными длинами волн (755 нм, 810 нм, 1064 нм), использование эпидермального охлаждения позволяют в некоторых случаях решить проблему PWS, резистентных к ИЛК 595 нм [26][27][28][29][30]38]. Y.C.…”

Section: заключениеunclassified

Features of laser coagulation of «port-wine stains» (cases from practice)

Белянина¹

2019

Stacionarozameshchayushchie tekhnologii: Ambulatornaya khirurgi

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Чрескожная лазерная коагуляция (селективный фототермолиз) в настоящее время является «золотым стандартом» лечения «винных пятен». Однако достичь полного удаления сосудистого поражения удается крайне редко, а в 20% случаев отмечена резистентность к лазерному воздействию. В статье приводятся клинические случаи лечения «винных пятен» у двух пациентов. На основе собственного опыта и данных литературы проведен анализ результатов лечения, побочных эффектов применения лазеров, а также рассмотрены альтернативные перспективные методы лечения.

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Partial re-emergence of a port-wine stain following successful treatment with flashlamp-pumped dye laser

Cited by 9 publications

References 11 publications

The Effect of Varying Pulse Duration, Wavelength, Spot Size, and Fluence on the Response of Previously Treated Capillary Vascular Malformations to Pulsed-Dye Laser Treatment

The Effect of Varying Pulse Duration, Wavelength, Spot Size, and Fluence on the Response of Previously Treated Capillary Vascular Malformations to Pulsed-Dye Laser Treatment

Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Features of laser coagulation of «port-wine stains» (cases from practice)

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