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Pulsed dye laser treatment of vascular lesions in children
1Department of Dermatology, NYU Medical Center, New York.
Insights
The pulsed dye laser effectively treats pediatric vascular lesions like port-wine stains and hemangiomas. This safe procedure offers good results with minimal side effects for children.
Area of Science:
- Dermatology
- Pediatric Laser Therapy
Background:
- Flashlamp-pumped pulsed dye laser (PDL) at 577-585 nm with 300-450 microsecond pulsewidths is established for treating pediatric vascular lesions.
- Effective and safe treatment of port-wine stains, telangiectases, and superficial hemangiomas in children has been demonstrated.
Purpose of the Study:
- To review the indications for using pulsed dye laser (PDL) in treating pediatric vascular lesions.
- Provide an overview of PDL applications in pediatric dermatology.
Main Methods:
- Literature review of pulsed dye laser applications in pediatric vascular lesions.
- Analysis of treatment outcomes and safety profiles.
Main Results:
- Port-wine stains show lightening or removal after multiple PDL sessions.
- Spider telangiectases achieve complete resolution, typically within 1-2 sessions.
- Superficial hemangiomas respond well to PDL, with variable results for deeper or complex lesions.
Conclusions:
- Pulsed dye laser is a safe and effective treatment for various pediatric vascular lesions.
- Low incidence of scarring and pigmentary alteration reported.
- PDL offers significant improvement for port-wine stains, telangiectases, and superficial hemangiomas in children.
Background:
The flashlamp-pumped pulsed dye laser (577,585 nm) with 300 to 450 microseconds pulsewidths has been demonstrated to effectively and safely treat port-wine stains, telangiectases, and superficial hemangiomas in children.
Objective:
The objective of this manuscript is to review the indications of the pulsed dye laser in the treatment of vascular lesions in children.
Conclusion:
Pulsed dye laser treatment of port-wine stains can remove or lighten the lesions with multiple treatment sessions. Spider telangiectases respond with complete resolution, usually within one to two treatment sessions. Superficial hemangiomas respond quite easily and effectively with the pulsed dye laser, while a more variable response is noted in deeper hemangiomas, early proliferative lesions, and ulcerated hemangiomas. This procedure is safe with a low incidence of scarring and pigmentary alteration.
