The Use of Long Pulsed Neodymium-Doped Yttrium Aluminum Garnet for the Treatment of Paediatric Venous Malformations
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Background: Venous malformation in the pediatric populationcan present with pain, bleeding, or a debilitating deformitythat can be difficult to manage. Sclerotherapy, surgery,and more recently, long pulsed neodymium-dopedyttrium aluminum garnet (Nd : YAG) laser have been usedwith variable success rates. Objective: Our aims andobjectives, were to identify the specific group of patients thatwould benefit from this treatment. Methods: A prospectiveclinical trial was carried out with 59 consecutive patients. The treatment criteria included a large facial deformity andpainful or bleeding lesions. One to three treatments wereadministered at 6∼8-week intervals. Results: A total of 59patients were treated. The average follow-up was 24 months. All patients achieved good to excellent results in pain andbleeding control as well as in the reduction of the size oflesions in the lip and oral mucosa. The treatment however,is not effective in reducing the size of large, relatively highflowlesions in the limbs. Complications from treatment includeskin blistering (n=4), ulceration (n=4), and subsequenthypertrophic scarring (n=3). Three patients had partialrecurrence after a 3-year follow-up. Conclusion: Complexvenous malformations cannot be cured but can be symptomaticallycontrolled with the long-pulsed Nd : YAG lasertreatment. The treatment satisfaction is high, and there is asmall but definite risk of scarring from treatment.
Abstract
Background: Venous malformation in the pediatric populationcan present with pain, bleeding, or a debilitating deformitythat can be difficult to manage. Sclerotherapy, surgery,and more recently, long pulsed neodymium-dopedyttrium aluminum garnet (Nd : YAG) laser have been usedwith variable success rates. Objective: Our aims andobjectives, were to identify the specific group of patients thatwould benefit from this treatment. Methods: A prospectiveclinical trial was carried out with 59 consecutive patients. The treatment criteria included a large facial deformity andpainful or bleeding lesions. One to three treatments wereadministered at 6∼8-week intervals. Results: A total of 59patients were treated. The average follow-up was 24 months. All patients achieved good to excellent results in pain andbleeding control as well as in the reduction of the size oflesions in the lip and oral mucosa. The treatment however,is not effective in reducing the size of large, relatively highflowlesions in the limbs. Complications from treatment includeskin blistering (n=4), ulceration (n=4), and subsequenthypertrophic scarring (n=3). Three patients had partialrecurrence after a 3-year follow-up. Conclusion: Complexvenous malformations cannot be cured but can be symptomaticallycontrolled with the long-pulsed Nd : YAG lasertreatment. The treatment satisfaction is high, and there is asmall but definite risk of scarring from treatment.
참고문헌 (7)
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