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European Journal of Plastic Surgery

, Volume 26, Issue 6, pp 319–323 | Cite as

Treatment of the vascular lesions of the face and neck using selective vascular photothermolysis with intense pulse light

  • Tahsin Oğuz AcartürkEmail author
  • Guy M. Stofman
Original Paper

Abstract

Intense pulse light with a flash lamp has been a treatment modality for several years. The technology uses multiple filters capable of treating various types of vascular lesions. An advantage of this diverse machine is the ability to adjust wavelengths through different filters and modify pulse duration and pulse delay. This allows treatment of various vascular lesions of different size and depth. This retrospective study in 44 patients determined the long-term outcomes and efficacy of intense pulse light on vascular lesions of the face, including telangiectasias, rosacea, cavernous hemangioma, and port wine stains. We also evaluated the proportional clearance of the lesion, number of treatments to achieve optimal results, side effects, and patient satisfaction. Patients were followed for an average of 19 months and received an average of 2.9 treatments. In 52% of patients there was over 75% resolution of the lesions. A higher number of treatments resulted in better outcomes without any increase in the side effects. Overall 81% of the patients were totally satisfied with the treatment. Intense pulse light offers an easy and effective way of treating vascular lesions of the face and neck. It has minimal side effects and yields high patient satisfaction.

Keywords

Vascular lesions Intense pulse light Laser Photothermolysis 

References

  1. 1.
    Alster TS, Lupton JR (2001) Lasers in dermatology: an overview of types and indications. Am J Clin Dermatol 2:291PubMedGoogle Scholar
  2. 2.
    Anderson RR (1983) Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science 220:524PubMedGoogle Scholar
  3. 3.
    Boixeda P, et al (1997) Complications of 585-nm pulsed dye laser therapy. Int J Dermatol 36:393PubMedGoogle Scholar
  4. 4.
    Der Horst CMAM van, et al (1998) Effect of the timing of treatment of port-wine stains with the flash-lamp-pumped-pulsed-dye-laser. N Engl J Med 338:1028CrossRefPubMedGoogle Scholar
  5. 5.
    Fiskerstrand EJ, et al (1996) Photothermally induced vessel wall necrosis after flashlamp-pumped pulsed dye laser treatment: lack of response in port-wine stains with small sized or deeply located vessels. J Invest Dermatol 107:671PubMedGoogle Scholar
  6. 6.
    Fiskerstrand EJ, et al (1998) Pigmentary changes after pulse dye laser treatment in 125 northern European patients with port wine stains. Br J Derm 138:477CrossRefGoogle Scholar
  7. 7.
    Goldman MP, Eckhouse S (1996) Photothermal sclerosis of leg veins. Dermatol Surg 22:323CrossRefPubMedGoogle Scholar
  8. 8.
    Golla D, Stofman GM (2002) Case report of phototherapy for a port-wine lesion. Aesthetic Plast Surg 26:61CrossRefPubMedGoogle Scholar
  9. 9.
    Haedersdal M, et al (1998) Changes in skin redness, pigmentation, echostructure, thickness, and surface contour after 1 pulsed dye laser treatment of port-wine stains in children. Arch Dermatol 134:175CrossRefPubMedGoogle Scholar
  10. 10.
    Jay H, Borek C (1998) Treatment of a venous lake angioma with intense pulsed light. Lancet 351 112Google Scholar
  11. 11.
    Raulin C (1997) Treatment of adult port-wine stains using intense pulsed ligth therapy (PhotoDerm VL): brief initial clinical report. Dermatol Surg 23:594CrossRefPubMedGoogle Scholar
  12. 12.
    Raulin C, Werner S (1999) Treatment of venous malformations with intense pulsed light source (IPLS) technology: a retrospective study. Lasers Surg Med 25:170CrossRefPubMedGoogle Scholar
  13. 13.
    Raulin C, et al (1997) Treatment of nonresponding port-wine stain with a new pulsed light source (PhotoDerm VL). Lasers Surg Med 21:203CrossRefPubMedGoogle Scholar
  14. 14.
    Raulin C, et al (1997) Treatment of essential telangiectasias with intense pulsed light source (PhotoDerm VL). Dermatol Surg 23:941CrossRefPubMedGoogle Scholar
  15. 15.
    Raulin C, et al (1999) Treatment port-wine stains with non-coherent pulsed light source: a retrospective study. Arch Dermatol 135:679CrossRefPubMedGoogle Scholar
  16. 16.
    Schroeter CA, Neumann HAM (1998) An intense light source: the PhotoDerm VL-Flashlamp as a new treatment possibility for vascular lesions. Dermatol Surg 24:743CrossRefPubMedGoogle Scholar
  17. 17.
    Wlotzke U, et al (1996) Side effects and complications of flashlamp-pumped pulsed dye laser therapy of port-wine stains. Br J Dermatol 134:475PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  1. 1.Division of Plastic and Reconstructive SurgeryUniversity of PittsburghPittsburghUSA
  2. 2.Division Plastic SurgeryMercy Hospital of PittsburghPittsburghUSA

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