Laser treatment of complicated head and neck hemangiomas in infancy.

C. J. Chang, B. M. Achauer, V. M. Vander Kam

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A retrospective study of 73 patients treated for symptomatic hemangiomas of head and neck from May 1981 to April 1994 was conducted. Fifty-three females and 20 males ranging in age from 1 day of life to 11 years with the average age being 19 months were reviewed in the University of California, Irvine Medical Center. All patients were referred by pediatricians or family practitioners for evaluation and possible laser treatment. The lesions reported were particular troublesome because of obstruction of orifice(s), repeated ulceration, bleeding, subsequent pain or life threatening. Various lasers have been used for these patients including: CO2 laser [10], Argon laser/with intralesional steroid injection [33/14], Nd YAG laser [21], KTP laser [1] and Flashlamp-pumped pulsed dye laser (FPPDL)[8]. All treated lesions healed in 7 to 21 days (mean, 12 days). Complications associated with laser treatment, such as postoperative bleeding and infection were not seen. The symptoms were totally relieved from 7 days to 24 months (mean, 9 months). Combined with reconstructive surgery, the texture changes (7 patients) after laser treatment were corrected successfully. The outcome was graded by reduction in volume, improvement of color and texture of hemangioma as follow: Grade 1 - Poor (0-25%); Grade II - Fair (26-50%); Grade III - Good (51-75%); Grade IV - Excellent (76-100%). The final results of the patients are similar to what may be expected after spontaneous involution of a complicated hemangioma. In summary, complicated hemangiomas of head and neck in infancy have significant morbidity that can be efficiently avoided with the use of laser therapy.

Original languageEnglish
Pages (from-to)135-141
Number of pages7
JournalChanggeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital
Volume19
Issue number2
Publication statusPublished - Jun 1 1996
Externally publishedYes

Fingerprint

Hemangioma
Lasers
Neck
Head
Solid-State Lasers
Reconstructive Surgical Procedures
Intralesional Injections
Hemorrhage
Dye Lasers
Therapeutics
Gas Lasers
Argon
Laser Therapy
Retrospective Studies
Color
Steroids
Morbidity
Pain
Infection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Laser treatment of complicated head and neck hemangiomas in infancy. / Chang, C. J.; Achauer, B. M.; Vander Kam, V. M.

In: Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital, Vol. 19, No. 2, 01.06.1996, p. 135-141.

Research output: Contribution to journalArticle

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