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This technique
(Flashlamp
pulsed dye laser) can be used in these situations:
- Superficial
facial hemangiomas
- Refractory
ulceration (hemangioma related), failing to
show any signs of healing after at least 2
weeks of specialized dressings overseen by
an experienced nurse (most ulcerations heal
with good wound care). Laser treatment can
be specifically used successfully for
ulcerated lesions in the perineal region.
- Significant
residual telangiectasia of an extensive area
of facial skin in a child soon to commence
school.
- For
cosmetic improvement if the residual lesion
is flat and red when the involution phase is
complete.
- Before
the surgical resection since it may be
possible to save additional skin in this way
It should be noted that many
sessions may be needed and the deep portion of the
hemangioma can not be treated with this technique.
When the laser treatment is used in deep
hemangiomas, it may cause focal ulcerations in areas
of already effaced skin.
Potential Risks of Laser
Therapy:
- Acute
or full-thickness skin loss
- Permanent
De-pigmentation
- Chickenpox-like
Scars
Laser treatments do not change
the risk for developing hypopigmented skin upon
completion of the regression phase. Epidermal
atrophy, which is also a possible sequela of
hemangioma, can be treated successfully with CO2
laser.
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