Efficacy of pulse dye laser therapy for the treatment of ulcerated haemangiomas: a review of 78 patients Lisa R David, Marc M Malek, Louis C Argenta

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Presentation transcript:

Efficacy of pulse dye laser therapy for the treatment of ulcerated haemangiomas: a review of 78 patients Lisa R David, Marc M Malek, Louis C Argenta British Journal of Plastic Surgery Volume 56, Issue 4, Pages 317-327 (June 2003) DOI: 10.1016/S0007-1226(03)00152-8

Fig. 1 Graphic distribution of the location of the haemangiomas in the study population. British Journal of Plastic Surgery 2003 56, 317-327DOI: (10.1016/S0007-1226(03)00152-8)

Fig. 2 (A) Ulcerated scalp haemangioma prior to laser therapy. (B) Healed scalp haemangioma after one treatment with the pulse dye laser. British Journal of Plastic Surgery 2003 56, 317-327DOI: (10.1016/S0007-1226(03)00152-8)

Fig. 3 (A) Ulcerated lower extremity haemangioma prior to laser therapy. (B) Ulcerated lower extremity haemangioma completely epithelialised 3 weeks after one treatment with the pulse dye laser. British Journal of Plastic Surgery 2003 56, 317-327DOI: (10.1016/S0007-1226(03)00152-8)

Fig. 4 (A) Obstructing facial haemangioma necessitating treatment with oral steroids at 2 mg/kg/day. (B) The same girl with ulceration prior to laser therapy. (C) Resolution of the ulceration demonstrated after two treatments with the pulse dye laser. British Journal of Plastic Surgery 2003 56, 317-327DOI: (10.1016/S0007-1226(03)00152-8)

Fig. 5 (A) Three-month-old girl with a large ulcerated facial haemangioma. (B) The same girl after three treatments with the pulse dye laser and the use of systemic steroids. British Journal of Plastic Surgery 2003 56, 317-327DOI: (10.1016/S0007-1226(03)00152-8)

Fig. 6 (A) A 3-month-old girl with airway haemangiomas necessitating a tracheostomy. (B) Progressive haemangioma growth was not successfully treated with steroids and required interferon therapy. The perioral ulcerations responded well to the pulse dye laser. British Journal of Plastic Surgery 2003 56, 317-327DOI: (10.1016/S0007-1226(03)00152-8)

Fig. 7 (A) Scanning laser Doppler of the girl in Fig. 4(A)–(C) prior to pulse dye laser therapy. (B) Scanning laser Doppler image of the same lesion after pulse dye laser therapy. British Journal of Plastic Surgery 2003 56, 317-327DOI: (10.1016/S0007-1226(03)00152-8)