HEMANGIOMA TREATMENT USING THE Nd:YAG LASER – A NEW METHOD
Abstract
Background. Hemangiomas and arterio-venous malformations are a common pathological entity in the head and neck region. Their treatment, i.e. removal is difficult, as the risk of bleeding is frequently high. The Nd:YAG laser enables in-depth photocoagulation, and that is why we tested its effectiveness in removal of head and neck hemangiomas, mostly intraorally.
Methods. During a two year period, we removed 44 hemangiomas in the head and neck region in 36 patients, of which four had large hemangiomas, with the perimeter exceeding 3 cm in two dimensions. We followed the patients until healing and periodically thereafter.
Results. The outcomes of treatment were excellent, complications were rare.
Conclusions. Treatment utilising the Nd:YAG laser proved to be an effective, simple and fast method of removing hemangiomas in the head and neck region.
Downloads
References
Batsakis JG, Rice DH. The pathology of head and neck tumors: vasoformative tumors, part 9a. Head Neck Surg 1981; 3: 231–9.
Batsakis JG, Rice DH. The pathology of head and neck tumors: vasoformative tumors, part 9b. Head Neck Surg 1981; 4: 326–39.
Žajdela Z, Čerk M. Interdisciplinarno zdravljenje hemangiomov maksilofacialne regije. Zobozdrav Vest 1995; 50: 257–60.
Azzolini A, Bertani A, Riberti C. Superselective embolization and immediate surgical treatment: our present approach to treatment of large vascular hemangiomas of the face. Ann Plast Surg; 9: 42–60.
Burkey BB, Garrett G. Use of the laser in the oral cavity. Otolaryngol Clin North Am 1996; 29: 949–61.
Chen MT, Yeong EK, Horng SY. Intralesional corticosteroid therapy in proliferating head and neck hemangiomas: a review of 155 cases. J Ped Surg 2000; 35: 420–3.
Shapshay SM, David LM, Zeitels S. Neodymium-YAG laser photocoagulation of hemangiomas of the head and neck. Laryngoscope 1987; 97: 323–30.
Dixon JA, Davis RK, Gilbertson JJ. Laser photocoagulation of vascular malformations of the tongue. Laryngoscope 1986; 96: 537–41.
Bradley PF. A review of the use of the neodymium YAG laser in oral and maxillofacial surgery. Br J Oral Maxillofac Surg 1997; 35: 26–35.
Werner JA, Lippert BM, Gottschlich S et al. Ultrasound-guided interstitial Nd:YAG treatment of voluminous hemangiomas and vascular malformations in 92 patients. Laryngoscope 1998; 108: 463–70.
Chang CJ, Anvari B, Nelson JS. Cryogen spray cooling for spatially selective photocoagulation of hemangiomas: a new methodology with preliminary clinical results. Plast Reconst Surg 1997; 102: 459–63.
Achauer BM, Chang CJ, VanderKam VM, Boyko A. Intralesional photocoagulation of periorbital hemangiomas. Plast Reconst Surg 1999; 103: 11–6.
Werner JA, Lippert BM, Hoffmann P, Rudert H. Nd:YAG laser therapy of voluminous hemangiomas and vascular malformations. In: Rudert H, Werner JA eds. Lasers in otorhinolaryngology, and in head and neck surgery. Adv Otorhinolaryngol 1995; 49: 75–80.
Hoexter DL. Latest advances in laser systems and periodontal surgery. Dent Clin N Am 2001; 45: 207–12.
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.
