Application of short-pulsed CO2 laser and long-pulsed Nd:YAG laser in the treatment of severe hypertrophic port-wine stains
Background: The treatment of port-wine stains (PWS) becomes extremely difficult due to age-related malformation of the vasculature. In this study, we used alternative methods to treat hypertrophic PWS. Methods: A short-pulsed CO2 laser was applied to ablate the hypertrophic vasculature of PWS. The a...
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| Format: | Article |
| Language: | English |
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KeAi Communications Co. Ltd.
2022-09-01
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| Series: | Chinese Journal of Plastic and Reconstructive Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2096691122000449 |
| _version_ | 1811293193304539136 |
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| author | Kui Zhan Yijin Luo Ying Zeng |
| author_facet | Kui Zhan Yijin Luo Ying Zeng |
| author_sort | Kui Zhan |
| collection | DOAJ |
| description | Background: The treatment of port-wine stains (PWS) becomes extremely difficult due to age-related malformation of the vasculature. In this study, we used alternative methods to treat hypertrophic PWS. Methods: A short-pulsed CO2 laser was applied to ablate the hypertrophic vasculature of PWS. The ablation was ended when the wound was on the same plane as normal skin. The long-pulsed neodymium-doped yttrium-aluminum-garnet (lpNd:YAG) laser was primarily applied to coagulate and subsequently liquefy the hypertrophic vasculature of the PWS. The therapeutic energy used in treating different lesions should be carefully regulated to significantly affect the treatment outcomes. Results: The two cases presented herein demonstrated substantial improvement in hypertrophic vasculature that was largely removed. The skin was resurfaced, although some scar formation and mild hypopigmentation occurred. Conclusion: We suggest the use of short-pulsed CO2 and lpNd:YAG lasers for treating certain cases of hypertrophic PWS. When using a short-pulsed CO2 laser, it is wise to judge the treatment endpoint and take appropriate precautions to avoid intraoperative bleeding. When using an lpNd:YAG laser, the therapeutic energy should be controlled according to the thickness of the lesion to reduce scar formation. |
| first_indexed | 2024-04-13T04:57:55Z |
| format | Article |
| id | doaj.art-3b971fc7c81849618d8e5c072fc8cf35 |
| institution | Directory Open Access Journal |
| issn | 2096-6911 |
| language | English |
| last_indexed | 2024-04-13T04:57:55Z |
| publishDate | 2022-09-01 |
| publisher | KeAi Communications Co. Ltd. |
| record_format | Article |
| series | Chinese Journal of Plastic and Reconstructive Surgery |
| spelling | doaj.art-3b971fc7c81849618d8e5c072fc8cf352022-12-22T03:01:25ZengKeAi Communications Co. Ltd.Chinese Journal of Plastic and Reconstructive Surgery2096-69112022-09-0143140143Application of short-pulsed CO2 laser and long-pulsed Nd:YAG laser in the treatment of severe hypertrophic port-wine stainsKui Zhan0Yijin Luo1Ying Zeng2Department of Dermatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, Guangdong, ChinaDepartment of Dermatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, Guangdong, ChinaCorresponding author. Department of Dermatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, 107 West Yanjiang Road, Yuexiu District, Guangzhou 510120, Guangdong, China.; Department of Dermatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, Guangdong, ChinaBackground: The treatment of port-wine stains (PWS) becomes extremely difficult due to age-related malformation of the vasculature. In this study, we used alternative methods to treat hypertrophic PWS. Methods: A short-pulsed CO2 laser was applied to ablate the hypertrophic vasculature of PWS. The ablation was ended when the wound was on the same plane as normal skin. The long-pulsed neodymium-doped yttrium-aluminum-garnet (lpNd:YAG) laser was primarily applied to coagulate and subsequently liquefy the hypertrophic vasculature of the PWS. The therapeutic energy used in treating different lesions should be carefully regulated to significantly affect the treatment outcomes. Results: The two cases presented herein demonstrated substantial improvement in hypertrophic vasculature that was largely removed. The skin was resurfaced, although some scar formation and mild hypopigmentation occurred. Conclusion: We suggest the use of short-pulsed CO2 and lpNd:YAG lasers for treating certain cases of hypertrophic PWS. When using a short-pulsed CO2 laser, it is wise to judge the treatment endpoint and take appropriate precautions to avoid intraoperative bleeding. When using an lpNd:YAG laser, the therapeutic energy should be controlled according to the thickness of the lesion to reduce scar formation.http://www.sciencedirect.com/science/article/pii/S2096691122000449Port-wine stainsLaserTreatment |
| spellingShingle | Kui Zhan Yijin Luo Ying Zeng Application of short-pulsed CO2 laser and long-pulsed Nd:YAG laser in the treatment of severe hypertrophic port-wine stains Chinese Journal of Plastic and Reconstructive Surgery Port-wine stains Laser Treatment |
| title | Application of short-pulsed CO2 laser and long-pulsed Nd:YAG laser in the treatment of severe hypertrophic port-wine stains |
| title_full | Application of short-pulsed CO2 laser and long-pulsed Nd:YAG laser in the treatment of severe hypertrophic port-wine stains |
| title_fullStr | Application of short-pulsed CO2 laser and long-pulsed Nd:YAG laser in the treatment of severe hypertrophic port-wine stains |
| title_full_unstemmed | Application of short-pulsed CO2 laser and long-pulsed Nd:YAG laser in the treatment of severe hypertrophic port-wine stains |
| title_short | Application of short-pulsed CO2 laser and long-pulsed Nd:YAG laser in the treatment of severe hypertrophic port-wine stains |
| title_sort | application of short pulsed co2 laser and long pulsed nd yag laser in the treatment of severe hypertrophic port wine stains |
| topic | Port-wine stains Laser Treatment |
| url | http://www.sciencedirect.com/science/article/pii/S2096691122000449 |
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