Ann Dermatol.  2011 Sep;23(Suppl 1):S75-S78. 10.5021/ad.2011.23.S1.S75.

Treatment Using a Long Pulsed Nd:Yag Laser with a Pulsed Dye Laser for Four Cases of Blebbed Port Wine Stains

• Chang HS
• Kim YG
• Lee JH

• KMID: 2156757
• DOI: http://doi.org/10.5021/ad.2011.23.S1.S75

Abstract

Port wine stains (PWS) are congenital capillary malformations consisting of ectasia of capillaries and venules. At birth,lesions are flat and relatively uniform in color, but evolve with age to become raised, thickened, irregularly surfaced, and deeply colored. Therefore, it is considered optimal to begin treatment of patients at an early age. Conventional treatment modalities, such as electrocautery or excision, require considerable effort and may be cosmetically unsatisfactory. We have performed treatment of blebbed PWS of four patients using a 1,064 nm long pulsed Nd:YAG laser with a contact cooling device. According to their size, most blebs required three or fewer treatment sessions at 8-week intervals. Treatments were well tolerated by all subjects and patients showed moderate to good improvement of blebs. A 1,064 nm long pulsed Nd:YAG laser with contact cooling may be considered as a promising therapeutic option for treatment of blebbed PWS.

Keyword

Contact cooling; Nd:YAG laser; Port wine stain

MeSH Terms

Blister
Capillaries
Dilatation, Pathologic
Electrocoagulation
Humans
Lasers, Dye
Port-Wine Stain
Vascular Malformations
Venules
Capillaries
Vascular Malformations

Figure

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  Fig. 1 Several violaceous nodules with surrounding erythematous flat plaques on the left cheek (V2 distribution of a trigeminal location) (A),After two sessions of treatment using a 1,064 nm long pulsed Nd:YAG laser with contact cooling on blebs, and five sessions of pulsed dye laser on the surrounding flat lesion (B).

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  Fig. 2 Asymptomatic five purpuric nodules with surrounding erythematous flat plaques on the left cheek (V2 distribution of a trigeminal location)(A), After three sessions of treatment using a 1,064 nm long pulsed Nd:YAG laser with contact cooling and four sessions of pulsed dye laser on the surrounding flat lesion (B).

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