Eur J Plast Surg (2008) 31:129 DOI 10.1007/s00238-008-0258-7 INVITED COMMENTARY Commentary on “The efficacy of the dual wave length Gemini laser on resistant port wine stains: A pilot study” (A. Liem et al.) H. Alani Received: 16 April 2008 /Accepted: 16 April 2008 /Published online: 4 June 2008 Springer-Verlag 2008 The gold standard in treating port wine stain hemangiomas in Using the scanner technique, 532 nm cannot be used on partly facial flat lesion in children is the use of pulsed dye laser or pigmented or tan skin. variable-pulse pulsed dye laser. The authors have tackled non- The combined 1,064 nm and 532 nm can be used with responding and resistant port wine hemangiomas (PWS) with benefit on diffuse redness and telangiectasia. the use of an interesting and seemingly effective combination KTP is more efficient in treating individual telangiectasia of Nd:YAG 1,064 nm and a frequency-doubled KTP 532 nm and telangiectatic erythema. using 5- and 10-mm spots. The frequency, 1,064 nm, is very useful in both superficial A wavelength of 1,064 nm is used in thicker hemangio- telangiectasia 1 mm in diameter and in deeper larger blue vessels. mas resistant to pulsed dye laser (PDL) and will result in The complication rate increases with increasing the fluence reduction in the vascular volume and its use is well known and the pulse duration to produce crusts or depressed scars in the treatment of type III–IV skin types. and may induce intravascular thromboses and perivascular The problem with using 1,064 nm is the learning curve and edema, which is slow to resolve. the efforts in matching the pulse width and energy with the Again, I congratulate the authors on tackling this delicate vessel size, color, skin type, and depth of penetration, which and important subject with what will open a new avenue in the need well-trained laser personnel to conduct the treatment. treatment of vascular lesions in the face and the rest of the body. This commentary refers to the article http://dx.doi.org/10.1007/ s00238-008-0257-8. H. Alani (*) Department of Plastic Surgery, Providence Hospital, Southfield, MI, USA e-mail: email@example.com
European Journal of Plastic Surgery – Springer Journals
Published: Jul 1, 2008
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