Combined Pulsed dye laser and fiberoptic Nd-YAG laser for the treatment of hypertrophic port wine stain.

Combined Pulsed dye laser and fiberoptic Nd-YAG laser for the treatment of hypertrophic port wine stain.

J Cosmet Laser Ther. 2017 Apr 07;:

Authors: Radmanesh M, Radmanesh R

Abstract
The hypertrophic port wine stain (PWS) is only partially and superficially treated with the Pulsed dye laser(PDL) because of its limited depth of penetration. We used combined PDL and fiberoptic 1444nm Nd-YAG laser to treat a case with hypertrophic PWS.
METHOD: After tumescent anesthesia, few holes were made by a 16 gauge needle on different sides of the lesion. The fiberoptic tip was of 1444nm Nd-YAG laser was inserted within the holes and was pushed forward while triggering. In a fan pattern and by a back and forth movement, the subcutaneous and deep dermal areas were coagulated. The skin and outer mucosal surfaces were then treated by PDL. The fiberoptic system used was Accusculpt 1444nm Nd-YAG laser (lutronic lasers south Korea) and the PDL used was 585nm Nlite system (Chromogenex UK). The parameters used for PDL were fluence = 9 Joulses/cm(2) and the spot size was 5mm. The parameters used for fiberoptic 1444nm Nd-YAG laser were: Pulse rate= 30 hertz, pulse energy= 300 mJoules, power= 6 wats and the total energy = 4000 Joules for the whole face and mucosa.
RESULT: Little sign of regression and moderate purpura were detected immediately after combined Fiberoptic Nd-YAG and PDL therapy. The lesion gradually regressed within four months with satisfactory color and volume change.
CONCLUSION: combined Fibroptic Nd-YAG laser and PDL can be used for the treatment of deeper and superficial layers of hypertrophic PWS.

PMID: 28388282 [PubMed - as supplied by publisher]

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