Clinical Experience in the Treatment of Port-Wine Stains with Blebs.
- Author:
Hyung Rae LEE
1
;
Tae Young HAN
;
Young Gull KIM
;
June Hyunkyung LEE
Author Information
- Publication Type:Original Article
- Keywords: Blebs; Contact cooling device; Nd:YAG lasers; Port-wine stains; Pulsed dye laser
- MeSH: Blister; Humans; Laser Therapy; Lasers, Dye; Light Coagulation; Port-Wine Stain; Skin
- From:Annals of Dermatology 2012;24(3):306-310
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: The current modality of choice for the treatment of Port-wine stains (PWS) is laser photocoagulation. Laser therapy for the treatment of PWS, especially with a pulsed dye laser (PDL), has been proven safe and effective; however, because penetration of the PDL is too shallow for an effective ablation of the blebs, treatment of blebbed PWS, using PDL, may be insufficient. OBJECTIVE: We demonstrated the clinical efficacy of a 1,064 nm long pulsed Nd:YAG laser with contact cooling device for blebbed PWS. METHODS: Twenty one patients with blebbed PWS (Fitzpatrick skin types II-V) underwent a treatment, using a 1,064 nm long pulsed Nd:YAG laser with a contact cooling device at 8-week intervals. Treatments were done using 5~6 mm spot sizes at 20~30 ms and 95~170 J/cm2. Laser parameters were adjusted in order to meet the needs of each individual patient's lesions. RESULTS: All subjects tolerated the treatments well, and showed clinical improvement from blebs. Of the 21 patients, 18 of them experienced either moderate or excellent response. CONCLUSION: Use of a 1,064 nm long pulsed Nd:YAG laser results in a greater depth of vascular coagulation. A 1,064 nm long pulsed Nd:YAG laser with contact cooling device may be regarded as a promising therapeutic option for the treatment of blebbed PWS.
