Journal of Tissue Engineering and Reconstructive Surgery ›› 2012, Vol. 8 ›› Issue (2): 88-90.doi: 10.3969/j.issn.1673-0364.2012.02.007

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Pulsed Dye Laser in the Treatment of Ulcerated Hemangioma in Infancy

MA Gang1,2,LIN Xiaoxi1,2,CHEN Hui1,CHEN Xiaodong1,YE Xiaoxiao1,LI Wei1,2,HU Xiaojie1,JIN Yunbo1,QIU Yajing1,CHEN Jinan1,2   

  1. 1 Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China;2 Cosmetic laser center,Shanghai Ninth People’s Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China.
  • Published:2020-07-23
  • Contact: 国家卫生公益性行业科研专项  (200802097)

Abstract: Objective To explore the clinical efficacy and safety of pulsed dye laser for the treatment of ulcerated hemangiomas.Methods Children with ulcerated hemangiomas were enrolled in the outpatient department.All patients with clean wound were treated with Cynosure pulsed dye laser(wave length: 585 nm;pulse width: 0.45 ms;spot size: 5 mm;energy density: 6.0-6.5 J/cm2).Lesions were treated in a sequential pattern at 2-3 week intervals until cutaneous healing.The time of reepithelialization,pain relief and side effects such as bleeding and infection were evaluated after laser procedure.Results Fifteen infants with ulcerated hemangiomas were included.All patients didn’t received other treatments before and during the laser procedure.Fourteen of 15 patients(93.3%) required laser treatment for one time with the healing time of ulceration ranged from 1 to 2 weeks.Only one patient(6.7%) required two times of laser treatment.The average time of complete ulceration healing was(1.68±0.23) weeks.Pain was controlled within 1-2 days after the laser treatment in all patients.Bleeding,infection and ulceration worsening were not observed.Conclusion Low-fluence pulsed dye laser is safe and effective for the treatment of ulcerated hemangiomas.It can accelerate the healing of ulceration and release the pain.

Key words: Infantile hemangioma, Ulceration, Pulsed dye laser

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