Successful treatment of ulcerated hemangiomas with a dual-wavelength 595- and 1064-nm laser system.

Abstract

BACKGROUND:

Pulsed dye laser (PDL) treatment has been shown to be effective for the management of ulcerated areas of hemangiomas. However, targeting deeper dermal lesions requires a laser system that penetrates more deeply than a PDL. Thus, we applied a dual-wavelength 595- and 1064-nm laser system to the treatment of ulcerated hemangiomas.

MATERIALS AND METHODS:

Twenty-two infants with ulcerated hemangiomas (mean are, 3.8 cm2) were reviewed. Ulcers were treated by debridement and the surface received 595-nm PDL treatment at 4-5 J/cm2 with a pulse width of 0.5 ms. Then, the remaining hemangioma excluding the ulcerated portion was treated with dual-wavelength laser. Laser treatment was repeated at two-week intervals until cutaneous healing was observed.

RESULTS:

Ulcerative lesions in 20 of the 22 patients (90.9%) healed entirely within 2 weeks following the first laser treatment. Two patients also required oral steroids, and one patient underwent two laser treatments. The follow-up period ranged from 6 to 24 months, and no evidence of recurrent ulceration or hemangioma regrowth was observed.

CONCLUSIONS:

Our findings confirm that PDL treatment leads to a rapid decrease in pain and initiation of the healing process and indicate that dual-wavelength laser treatment offers rapid healing with few adverse effects.

• Authors: Yuanjun Li, Yunfeng Hu, Haipian Li, Liehua Deng
• Journal: The Journal of dermatological treatment (J Dermatolog Treat) Vol. 27 Issue 6 Pg. 562-567 (Nov 2016) ISSN: 1471-1753 [Electronic] England
• PMID: 27075938 (Publication Type: Journal Article)

Topics

• Debridement
• Female
• Hemangioma (surgery)
• Humans
• Infant
• Lasers, Dye (therapeutic use)
• Male
• Treatment Outcome
• Ulcer (surgery)
• Wound Healing