Successful Treatment of Facial Telangiectasias Using a Micropulse 1,064-nm Neodymium-Doped Yttrium Aluminum Garnet Laser

Rose, Amy E.; Goldberg, David J.

doi:10.1111/dsu.12185

Cited by 16 publications

(29 citation statements)

References 10 publications

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“…In his study of 6 patients, Pham [28] concluded that the Nd:YAG 1,064-nm laser system coupled with dynamic precooling and postcooling thermal quenching was effective and safe in treating vascular lesions. In a recent study of 20 patients with facial telangiectasias treated by means of Nd:YAG laser, Rose and Goldberg [36] reported that the treatment was associated with minimal discomfort and no adverse events, like in the patient group that we treated.…”

Section: Discussionmentioning

confidence: 94%

“…Rose and Goldberg [36] evaluated the efficacy of the FD QSNd:YAG (diode-pumped frequency-doubled Q-switched neodymium:yttrium aluminium garnet) laser (532 nm) for the treatment of facial telangiectasias of 30 adults. After only one session with this laser type, telangiectasias either improved or totally cleared.…”

Section: Discussionmentioning

confidence: 99%

“…Many therapeutic modalities, especially laser systems [16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36] or intense pulsed light (IPL) [18,19,20] have been applied in the treatment of these telangiectasias. The aim of this study was to present a single-institution experience of treating extranasal telangiectasias by means of Nd:YAG laser.…”

Section: Introductionmentioning

confidence: 99%

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Nd:YAG Laser Treatment for Extranasal Telangiectasias: A Retrospective Analysis of 38 Patients with Hereditary Hemorrhagic Telangiectasia and Review of the Literature

Papaspyrou

Schick²,

Kadah³

2016

ORL

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Background/Aims: Extranasal telangiectasiasare common amongsthereditary hemorrhagic telangiectasia (HHT) patients. Telangiectasias can be found at sites like the external nose, lips, oral cavity and fingers. Although not life threatening, they can be annoying for patients and lead to bleeding in some cases, necessitating treatment. Methods: The data of 38 HHT patients treated for extranasal telangiectasias during a period of 10 years by means of Nd:YAG laser were retrospectively analyzed. Results: The telangiectasias treated affected predominantly the tongue, facial skin and lips. During a minimum follow-up of 3 years, only 7 patients required a revision of surgery. Conclusion: This study shows that Nd:YAG laser constitutes a fast, safe and efficient therapeutic modality for the treatment of extranasal telangiectasias.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nd:YAG Laser Treatment for Extranasal Telangiectasias: A Retrospective Analysis of 38 Patients with Hereditary Hemorrhagic Telangiectasia and Review of the Literature

Papaspyrou

Schick²,

Kadah³

2016

ORL

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“…According to the assessment by an independent researcher, satisfac-tory clearance was achieved in 75% of patients and complete clearance was evident in as many as 10%, while no patient was reported as having no clearance at all, or worsening or experiencing adverse events. Therefore, the investigators concluded that micropulse 1064 nm Nd:YAG laser is both safe and effective for the treatment of facial telangiectasia [57] . As far as the treatment of telangiectasias of the lower extremities using Nd:YAG laser is concerned, a model has been suggested, in accordance with the best treatment outcome achieved using a range of moderate fluences (100-200 J/cm 2 ) and pulse durations between 10 and 100 ms, in order to reduce excess dermis heating and pain [58] .…”

Section: Telangiectasiasmentioning

confidence: 99%

Management of vascular lesions using advanced laser technology

Tzermias¹,

Eleftheriadi²,

Gkiouzepaki³

2017

J Surg Dermatol

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Abstract:One of the most widely used cutaneous applications of Light Amplification by Stimulated Emission of Radiation (laser) concerns the treatment of vascular lesions. During the past two decades, very significant advances in the application of laser technology in dermatology have occurred, with selective photothermolysis being the most important. This review focuses on the application of modern laser devices (Pulsed Dye Laser, or PDL; potassium titanyl phosphate laser, or KTP; diode laser; and neodymium-doped yttrium-aluminium-garnet laser, or Nd:YAG), as well as the combination of laser and photodynamic therapy (PDT) for the treatment of vascular lesions. In lar, both congenital (haemangiomas and port-wine stains) and acquired vascular lesions (facial and leg telangiectasias, rosacea, Poikiloderma of Civatte, spider angioma, pyogenic granuloma, and venous lakes) are discussed. The review of many recent research studies demonstrates that modern applications of lasers in dermatology constitute the finest method for the treatment of vascular lesions, combining the advantages of invasive therapy with the security offered by non-invasive therapy, while in certain cases they are the single and only choice for the treatment of these lesions.Keywords: Va scular lesions; laser; PDL; Nd:YAG; PDT Citation: Tzermias C, Eleftheriadi A, Gkiouzepaki I. Management of vascular lesions using advanced laser technology.

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“…It was not until 1997, with the addition of cooling and shorter pulse widths [6], that the Nd:YAG laser became a viable therapeutic option for treatment of cutaneous vascular lesions [7]. More recently, an Nd:YAG laser with a 650-μs pulse width has proven to be a viable option for facial treatments without the complications of prior longer-pulsed devices [8].…”

mentioning

confidence: 99%

Nd:YAG Laser

Kaufman¹

2014

Laser Treatment of Vascular Lesions

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The Nd:YAG laser, with its 1,064-nm wavelength, is a mainstay for treatment of vascular lesions. What it may sacrifice in absorption by hemoglobin, it makes up for in depth of penetration. The long-pulsed Nd:YAG laser has been the ideal choice for lesions off the face and for thick or deep vascular targets, although newer short-pulsed high-energy (650-μs) devices are showing high efficacy and safety on facial vessels as well. Common uses include leg veins, port-wine stains, blue vessels, and venous lakes. Care must be taken to use adequate cooling during treatment. The Nd:YAG laser is a versatile wavelength with many possible uses for both pigmented and vascular indications. © 2014 S. Karger AG, Basel Vascular lesions, such as port-wine stains and hemangioma of infancy, have been the first and most evident uses for cutaneous lasers in dermatology. However, there are many other uses for these lasers, some vascular in nature and some using the same target, but for a different purpose. The shorter wavelength vascular lasers, including the pulsed dye laser, were the initial lasers implemented for these indications. Over the past 20 years, advancements including using other wavelengths, such as 532 nm [KTP (potassium-titanyl-phosphate)], 755 nm (alexandrite), and 1,064 nm [Nd:YAG (neodymium:yttrium-aluminum-garnet)] have expanded available treatments for these and other vascular conditions. The Nd:YAG laser has become a vital wavelength in treating many cutaneous conditions, including hemangiomas of infancy, port-wine stains, leg veins, venous lakes, telangiectasias scars and photorejuvenation.The first reports of the Nd:YAG laser being used for vascular lesions was in the early 1980s [1,2]. Parkin and Dixon [1] used an Nd:YAG laser to successfully photocoagulate intranasal telangiectasias in patients with Osler-Weber-Rendu syndrome. In 1986, the Nd:YAG was used on hypertrophic port-wine stains [3]. The fluence used was very high with no epidermal cooling, resulting in coagulation at a great depth, but with posttreatment necrosis of the epidermis and scarring [4]. Histologic investiga-

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Successful Treatment of Facial Telangiectasias Using a Micropulse 1,064-nm Neodymium-Doped Yttrium Aluminum Garnet Laser

Abstract: The micropulse 1,064-nm Nd:YAG successfully treated facial telangiectasias with a high degree of patient satisfaction, minimal discomfort, and no adverse events.

Cited by 16 publications

References 10 publications

Nd:YAG Laser Treatment for Extranasal Telangiectasias: A Retrospective Analysis of 38 Patients with Hereditary Hemorrhagic Telangiectasia and Review of the Literature

Nd:YAG Laser Treatment for Extranasal Telangiectasias: A Retrospective Analysis of 38 Patients with Hereditary Hemorrhagic Telangiectasia and Review of the Literature

Management of vascular lesions using advanced laser technology

Nd:YAG Laser

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