Naslov
Pulsed dye laser treatment of vascular lesions in childhood

Autori
Barčot, Zoran ; Župančić, Božidar

Izvornik
Acta dermatovenerologica Croatica (1330-027X) 18 (2010), 3; 201-208

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad, ostalo

Ključne riječi
pulse dye laser; vascular birthmarks; laser therapy; hemangioma; port wine stain; childhood

Sažetak
Almost all congenital vascular abnormalities affect the skin and are evident from birth or become so during the first few weeks of life. The two most common types of vascular birthmarks, hemangiomas and vascular malformations, may appear to be very similar but their course and treatment are different. Hemangiomas appear in the first few weeks of life and usually regress spontaneously over time. Vascular malformations are always present from birth even though they might not be apparent, never disappear and often grow during the person’s lifetime and may vary extremely from high blood flow lesions, sometimes located in critical sites that may be lifethreatening to asymptomatic spots of mere aesthetic concern. Laser therapy nowadays has become indispensable in the management of pediatric vascular lesions. With a proper balance of wavelength, energy density and pulse duration, the laser energy of thermo coagulation could be molded to effectively manage different lesions. Both dermatology and plastic surgery have been transformed by understanding vascular lesions biology and modern laser technology. As a result, we can now provide an optimal selective treatment with minimal collateral damage. Although alternatives such as the potassium titanyl phosphate (KTP), red/infrared (IR), or intense pulsed light lasers are available, pulsed dye lasers continue to be the standard of care for the majority of pediatric vascular lesions.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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