Laser Therapy of Vascular Malformations

Marilyn G. Liang and Oon T. Tan

in Mulliken and Young's Vascular Anomalies

Published on behalf of Oxford University Press

Published in print August 2013 | ISBN: 9780195145052
Published online November 2013 | e-ISBN: 9780199357147 | DOI:
Laser Therapy of Vascular Malformations

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  • Surgery
  • Histopathology
  • Surgical Skills


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Several laser are used to treat cutaneous vascular malformations. Pulsed dye laser (PDL) is the mainstay for CM but alexandrite lasers are also used. Side effects include scarring, hyperpigmentation, hypopigmentation, infection, and recurrence. Epidermal cooling reduces thermal injury of the epidermis and, in turn, prevents adverse effects at the laser treated sites. Photochemotherapy for CM is under clinical investigation. LM can be treated with PDL, CO2, Nd:YAG, intense pulsed light and photodynamic therapy (PDT). Nd:YAG laser has been used, both percutaneously and intralesionally, to treat VM, in addition to CO2 and photodynamic therapy (PDT). Most dermatologists prefer PDL for spider telangiectases.

Chapter.  10169 words.  Illustrated.

Subjects: Surgery ; Histopathology ; Surgical Skills

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