The role of the Lumina intense pulsed light system in the treatment of port wine stains— a case controlled study  N. Reynolds, J. Exley, S. Hills, S. Falder,

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Presentation transcript:

The role of the Lumina intense pulsed light system in the treatment of port wine stains— a case controlled study  N. Reynolds, J. Exley, S. Hills, S. Falder, C. Duff, J. Kenealy  British Journal of Plastic Surgery  Volume 58, Issue 7, Pages 968-980 (October 2005) DOI: 10.1016/j.bjps.2005.04.006 Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 1 (A1) View of left side of subject 10 with evidence of hypopigmentation and scarring after two treatments with the Lumina. British Journal of Plastic Surgery 2005 58, 968-980DOI: (10.1016/j.bjps.2005.04.006) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 2 (B1) Pre-treatment photograph of subject 1's chest. British Journal of Plastic Surgery 2005 58, 968-980DOI: (10.1016/j.bjps.2005.04.006) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 3 (B2) View of subject 1's right arm following nine treatments with the Lumina. British Journal of Plastic Surgery 2005 58, 968-980DOI: (10.1016/j.bjps.2005.04.006) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 4 (B3) View of subject 1's chest following 12 treatments with the Lumina. British Journal of Plastic Surgery 2005 58, 968-980DOI: (10.1016/j.bjps.2005.04.006) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 5 (C1) Pre-treatment photograph of the left side of subject 5's neck. British Journal of Plastic Surgery 2005 58, 968-980DOI: (10.1016/j.bjps.2005.04.006) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 6 (C2) View of the left side of subject 5's neck following five treatments with the Lumina. British Journal of Plastic Surgery 2005 58, 968-980DOI: (10.1016/j.bjps.2005.04.006) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 7 (D1) Pre-treatment photograph of subject 12's left arm. British Journal of Plastic Surgery 2005 58, 968-980DOI: (10.1016/j.bjps.2005.04.006) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 8 (D2) View of subject 12's left arm after five treatments with the Lumina. British Journal of Plastic Surgery 2005 58, 968-980DOI: (10.1016/j.bjps.2005.04.006) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 9 Blood vessel arrangements for the PWS model used in the Monte Carlo simulation to determine the effectiveness of the Lumina irradiation parameters for treating PWS. British Journal of Plastic Surgery 2005 58, 968-980DOI: (10.1016/j.bjps.2005.04.006) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 10 Relative photon absorption for vessels A, B and C. The plots display results of the Monte Carlo simulation for 577, 585nm and broadband radiation. British Journal of Plastic Surgery 2005 58, 968-980DOI: (10.1016/j.bjps.2005.04.006) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 11 Contour plot of temperature distribution along the vertical axis of the central vessel in (a) the upper vessel layer of the PWS model and (b) the second vessel layer of the PWS model following Lumina irradiation. The pulse length was 20ms and the fluence was increased until the vessel temperature reached the threshold for thermal necrosis. The fluence required to surpass the threshold damage temperature was 25J/cm2. British Journal of Plastic Surgery 2005 58, 968-980DOI: (10.1016/j.bjps.2005.04.006) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions