What novel laser treatments are available for the treatment of infantile hemangiomas?

Updated: Feb 06, 2019
  • Author: Richard J Antaya, MD; Chief Editor: William D James, MD  more...
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Answer

Other lasers that appear to be efficacious in treating hemangiomas include the pulsed Nd:YAG, frequency-doubled Nd:YAG, and KTP lasers. A systematic review of laser treatment of infantile hemangiomas found most data on pulsed-dye lasers (PDLs). Some studies suggest that longer-pulse PDL (10-20 millisecond pulse width) therapy may offer a therapeutic advantage, but not enough data are available to make recommendations on any parameter or laser. [72] Carbon dioxide lasers are occasionally used for airway hemangiomas. [73] Each of these lasers has specific benefits and limitations regarding depth of penetration, absorption of skin chromophores, and caliber of the vessel treated. Complications also vary depending on the laser, settings, and site treated. [74]

The use of nonablative fractional photothermolysis (nFP) for the treatment of the anetodermic fibrofatty residua in involuted infantile hemangiomas may be an alternative to surgical excision. [75]

See Laser Treatment of Acquired and Congenital Vascular Lesions for a detailed discussion.


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