A preliminary study of the combined effect of neodymium: YAG laser photocoagulation and direct steroid instillation in the treatment of capillary/cavernous hemangiomas of infancy.
Thirteen patients with capillary/cavernous hemangiomas of infancy have been treated with a combination of neodymium: YAG laser photocoagulation plus direct local instillation of steroids. In all cases, rapid growth immediately ceased and blanching started. Shrinkage of the lesions then occurred spontaneously over the ensuing months; any plateau in shrinkage was retreated. Five of 13 patients experienced dramatic blanching and shrinkage with one treatment. Six experienced mild to moderate shrinkage. Complications occurred in 2 patients.
Apfelberg
D B
DB
Department of Plastic Surgery and Comprehensive Laser Center, Palo Alto Medical Foundation, CA 94301.
Maser
M R
MR
White
D N
DN
Lash
H
H
D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D001623:Betamethasone / Q000008:administration & dosage; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005153:Facial Neoplasms / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D006391:Hemangioma / Q000188:drug therapy / Q000601:surgery*; D006392:Hemangioma, Cavernous / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D007223:Infant; D007267:Injections; D008028:Light Coagulation; D014222:Triamcinolone Acetonide / Q000008:administration & dosage / Q000031:analogs & derivatives
D000893:Anti-Inflammatory Agents; D001623:Betamethasone; D014222:Triamcinolone Acetonide; C005900:triamcinolone hexacetonide