Treatment of Infantile hemangioma by ND YAG laser.

Abstract

Hemangiomas one of the most common type of congenital anomaly in childhood. Although many resolve spontaneously but intervenation is required when their growth could damage vital adjacent structure. It is characterized by an initial phase of rapid proliferation followed by slow involution, often leading to complete regression. Many therapeutic approaches for hemangiomas with different types of laser such as CO2 laser PDL, KTP and ND-YAG laser have been used .The aim of this study is to determined the efficacy of Nd YAG laser in the treatment of infantile hemangiomas. PATIENTS & Methods:This study include 18 patients aged 3 months to 2 years with cutaneous hemangiomas were treated with a Nd: YAG laser. The laser power was between 26- 30 joules with a pulse length 50 ml second. The lesion was cooled with dynamic cooling device (DCD) 30 ml second prior plus shots.The number of sessions was ranged from 4 to 12sessions with two weeks interval. Results:After 6 months of follow-up of laser treatment, excellent response was seen in 6 patients (33.3 %), very good response was seen 6 patients (33.3 %), good response was seen in 5 patients(27.77 %), and poor response was seen in 1 patient ( 5.55 %). Complications were seen in 3 patients 1 with bleeding and 2 with scar. Conclusions:Nd: YAG laser irradiation produces good cosmetic results for the treatment of cutaneous hemangiomas in Egyptian infants.