[Treatment of cavernous hemangiomas with the neodymium:YAG laser]. 1997

K Gosepath, and N Pfeiffer, and W J Mann
HNO-Universitätsklinik Mainz.

BACKGROUND Cavernous hemangiomas are benign vascular lesions which are apparent at birth or soon thereafter. Although hemangiomas involute spontaneously, cosmetically unacceptable results or life-threatening complications may occur, necessitating early therapy. METHODS Thirty-four patients with facial cavernous hemangiomas were treated with a cw-neodymium:YAG laser. Before, during, and after the treatment the skin was cooled with ice. The quartz fiber was used in contact or non-contact technique, and in very large hemangiomas we used interstitial treatment. RESULTS In all patients a clear reduction of the tumor size was achieved. In 26 cases the tumor disappeared completely. Usually there is considerably swelling of the tumor immediately after treatment which decreases within some days. Side effects include local hyperemia and slight burns. Scarring was seen in only two cases. CONCLUSIONS Facial cavernous hemangiomas can be treated satisfactory by the neodymium:YAG laser. Safe, active intervention with this laser is possible in most, if not in all, cases and it provides an alternative to other treatment modalities including the neglect of these lesions.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D002921 Cicatrix The fibrous tissue that replaces normal tissue during the process of WOUND HEALING. Scars,Cicatrization,Scar,Scarring
D005153 Facial Neoplasms New abnormal growth of tissue in the FACE. Facial Neoplasm,Neoplasm, Facial,Neoplasms, Facial
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006392 Hemangioma, Cavernous A vascular anomaly that is a collection of tortuous BLOOD VESSELS and connective tissue. This tumor-like mass with the large vascular space is filled with blood and usually appears as a strawberry-like lesion in the subcutaneous areas of the face, extremities, or other regions of the body including the central nervous system. Angioma, Cavernous,Cavernous Angioma,Cavernous Hemangioma,Strawberry Hemangiomas,Cavernous Hemangiomas,Hemangioma, Strawberry,Hemangiomas, Cavernous,Hemangiomas, Strawberry,Strawberry Hemangioma

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