Treatment of Hemangioma Using Nd:YAG Laser.

Hyon, Won Sok; Mun, Goo Hyun; Bang, Sa Ik; Oh, Kap Sung

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2003;30(6):773-778.
Published online November 1, 2003.

Treatment of Hemangioma Using Nd:YAG Laser.

Won Sok Hyon, Goo Hyun Mun, Sa Ik Bang, Kap Sung Oh

Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. psdoc@samsung.co.kr

Abstract

Although Nd:YAG laser(1064nm) showed good reduction effects on treatment of cutaneous hemangioma, its use was limited because of non-selective laser absorption and complications such as scar formation. So, we applied different modalities of Nd:YAG laser for more effective and safe treatment. We applied Nd:YAG laser to 9 patients with hemangioma on upper eyelid, cheek, back, arm, and parotid area from February, 1999 to February, 2002. The age at treatment ranged from 4 months to 4 years. Nd:YAG laser was irradiated both inside of the hemangioma by using a bare fiber through a 16G Tefflon cannula and outside of it by cooling the skin with a ice-cube. Nd:YAG laser was irradiated directly into the lesion through the bare fiber and safely to the skin through the ice cube. The mean number of treatment was 1.8, and the time interval between the next treatment was 4.5 months. The mean follow-up period was 13.5 months. Six patients showed almost full regression. Two patients had surgical excision after laser treatment, and one showed slow regression to be in the clinical observation.

Keywords: Hemangioma; Nd: YAG laser; Interstitial laser; Surface cooling