Abstract
Vascular anomalies remain a challenge for patients and reconstructive surgeons. Recently, promising results have been reported using intralesional photocoagulation (ILP) to treat large, deep vascular lesions. We report our experience in treating 12 patients with vascular anomalies of the tongue (10 venous malformations and two haemangiomas) using intralesional photocoagulation. All patients were treated with a Nd:YAG (neodymium:yttrium-aluminium-garnet) (1064 nm) laser (Sharplan, Inc., NJ, USA) delivered with a 600 μm optical fibre. Laser power was set at 7 or 10 W, delivered with a pulse duration of 10 s. Laser energy was delivered to all areas of the vascular lesion. Heat, visible shrinkage and firmness of the lesion signalled the end-point of treatment. The mean follow-up period was 9.5 months (range 3-20 months). All patients demonstrated improvement as judged by a clinical assessment of the reduction in lesion size (mean reduction = 87%, range 60-100%). Three patients (25%) had complications attributed to photocoagulation. Energy delivered too superficially resulted in ulceration or scarring. These complications should be avoidable if this potential for harm is kept in mind.
| Original language | English |
|---|---|
| Pages (from-to) | 178-181 |
| Number of pages | 4 |
| Journal | British Journal of Plastic Surgery |
| Volume | 52 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Jan 1 1999 |
| Externally published | Yes |
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Keywords
- Haemangioma
- Laser
- Tongue
- Vascular malformation
ASJC Scopus subject areas
- Surgery
- Otorhinolaryngology
Cite this
Intralesional photocoagulation of vascular anomalies of the tongue. / Chang, Cheng Jen; Fisher, David M.; Chen, Yu Ray.
In: British Journal of Plastic Surgery, Vol. 52, No. 3, 01.01.1999, p. 178-181.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intralesional photocoagulation of vascular anomalies of the tongue
AU - Chang, Cheng Jen
AU - Fisher, David M.
AU - Chen, Yu Ray
PY - 1999/1/1
Y1 - 1999/1/1
N2 - Vascular anomalies remain a challenge for patients and reconstructive surgeons. Recently, promising results have been reported using intralesional photocoagulation (ILP) to treat large, deep vascular lesions. We report our experience in treating 12 patients with vascular anomalies of the tongue (10 venous malformations and two haemangiomas) using intralesional photocoagulation. All patients were treated with a Nd:YAG (neodymium:yttrium-aluminium-garnet) (1064 nm) laser (Sharplan, Inc., NJ, USA) delivered with a 600 μm optical fibre. Laser power was set at 7 or 10 W, delivered with a pulse duration of 10 s. Laser energy was delivered to all areas of the vascular lesion. Heat, visible shrinkage and firmness of the lesion signalled the end-point of treatment. The mean follow-up period was 9.5 months (range 3-20 months). All patients demonstrated improvement as judged by a clinical assessment of the reduction in lesion size (mean reduction = 87%, range 60-100%). Three patients (25%) had complications attributed to photocoagulation. Energy delivered too superficially resulted in ulceration or scarring. These complications should be avoidable if this potential for harm is kept in mind.
AB - Vascular anomalies remain a challenge for patients and reconstructive surgeons. Recently, promising results have been reported using intralesional photocoagulation (ILP) to treat large, deep vascular lesions. We report our experience in treating 12 patients with vascular anomalies of the tongue (10 venous malformations and two haemangiomas) using intralesional photocoagulation. All patients were treated with a Nd:YAG (neodymium:yttrium-aluminium-garnet) (1064 nm) laser (Sharplan, Inc., NJ, USA) delivered with a 600 μm optical fibre. Laser power was set at 7 or 10 W, delivered with a pulse duration of 10 s. Laser energy was delivered to all areas of the vascular lesion. Heat, visible shrinkage and firmness of the lesion signalled the end-point of treatment. The mean follow-up period was 9.5 months (range 3-20 months). All patients demonstrated improvement as judged by a clinical assessment of the reduction in lesion size (mean reduction = 87%, range 60-100%). Three patients (25%) had complications attributed to photocoagulation. Energy delivered too superficially resulted in ulceration or scarring. These complications should be avoidable if this potential for harm is kept in mind.
KW - Haemangioma
KW - Laser
KW - Tongue
KW - Vascular malformation
UR - http://www.scopus.com/inward/record.url?scp=0033119822&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033119822&partnerID=8YFLogxK
U2 - 10.1054/bjps.1998.3056
DO - 10.1054/bjps.1998.3056
M3 - Article
C2 - 10474467
AN - SCOPUS:0033119822
VL - 52
SP - 178
EP - 181
JO - Journal of Plastic, Reconstructive and Aesthetic Surgery
JF - Journal of Plastic, Reconstructive and Aesthetic Surgery
SN - 1748-6815
IS - 3
ER -