Literature DB >> 20085450

Clinical analysis of port wine stains treated by intense pulsed light.

Guang Li1, Tong Lin, Qiuju Wu, Zhanchao Zhou, Michael H Gold.   

Abstract

BACKGROUND: Port wine stains (PWS) are formed by dilation and malformation of dermal capillaries without endothelium proliferation. Despite the improvements in lasers and light therapy for PWS therapy in the past 10 years, the 'cure' rate is only about 10%. Intense pulsed light (IPL) is a non-coherent light based on the theory of selective photothermolysis.
OBJECTIVE: To evaluate the efficacy of a new IPL on PWS.
METHODS: Seventy-two patients with PWS treated with an IPL with synchronous cooling were retrospectively analyzed. According to AQ1: sentence re-punctuated in places. Please check through and confirm correct the Fitzpatrick skin type, color, location of the lesion, and treatment reaction, light filters of 560 nm 590 nmor 640 nm were used with a single pulse with a pulse width of 6-14 ms and a fluence of 16-29 J/cm2; a double pulse with a pulse width of 3.5-4.0 ms, a pulse delay of 20-30 ms, and a fluence of 17-23 J/cm2; or a triple pulse with a pulse width of 3.0-4.0 ms, a pulse delay of 20-40 ms, and a fluence of 18-22 J/cm2. The adverse effects and the relationships among the lesion type, treatments, ages and location were analyzed.
RESULTS: Most of the PWS lesions faded significantly and the response rate in this series was 76.4%. Patients resistant to other forms of therapy also showed good clinical results. Adult lesions were easier to remove than those in younger individuals. Further improvement did not occur after three treatments. We failed to find any relationship between efficacy and location of the PWS.
CONCLUSION: The IPL treatment modality is safe and efficient for the treatment of PWS and for those which may be resistant to other therapies. The IPL is an alternative method for most PWS lesions.

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Year:  2010        PMID: 20085450     DOI: 10.3109/14764170903449778

Source DB:  PubMed          Journal:  J Cosmet Laser Ther        ISSN: 1476-4172            Impact factor:   2.247


  6 in total

Review 1.  An overview of clinical and experimental treatment modalities for port wine stains.

Authors:  Jennifer K Chen; Pedram Ghasri; Guillermo Aguilar; Anne Margreet van Drooge; Albert Wolkerstorfer; Kristen M Kelly; Michal Heger
Journal:  J Am Acad Dermatol       Date:  2012-02-03       Impact factor: 11.527

2.  A 7-week-old infant with right upper eyelid mass.

Authors:  John Davis; Kapil G Kapoor
Journal:  Digit J Ophthalmol       Date:  2010-10-02

3.  Targeted narrowband intense pulsed light on cutaneous vasculature.

Authors:  Wesley J Moy; Joshua D Yakel; O Cecilia Osorio; Jocelynda Salvador; Carole Hayakawa; Kristen M Kelly; Bernard Choi
Journal:  Lasers Surg Med       Date:  2015-07-31       Impact factor: 4.025

Review 4.  An overview of three promising mechanical, optical, and biochemical engineering approaches to improve selective photothermolysis of refractory port wine stains.

Authors:  Guillermo Aguilar; Bernard Choi; Mans Broekgaarden; Owen Yang; Bruce Yang; Pedram Ghasri; Jennifer K Chen; Rick Bezemer; J Stuart Nelson; Anne Margreet van Drooge; Albert Wolkerstorfer; Kristen M Kelly; Michal Heger
Journal:  Ann Biomed Eng       Date:  2011-10-21       Impact factor: 3.934

5.  Unconventional use of intense pulsed light.

Authors:  D Piccolo; D Di Marcantonio; G Crisman; G Cannarozzo; M Sannino; A Chiricozzi; S Chimenti
Journal:  Biomed Res Int       Date:  2014-09-03       Impact factor: 3.411

Review 6.  Site-specific pharmaco-laser therapy: A novel treatment modality for refractory port wine stains.

Authors:  M Ingmar van Raath; Jojanneke E van Amesfoort; Martin Hermann; Yasin Ince; Maurice J Zwart; Agustina V Echague; Yan Chen; Baoyue Ding; Xuan Huang; Gert Storm; Michal Heger
Journal:  J Clin Transl Res       Date:  2019-05-01
  6 in total

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