Intralesional laser therapy for vascular malformations

Linda W. Ma, Benjamin Levi, Adam J. Oppenheimer, Steven J. Kasten

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Intralesional laser therapy for the treatment of vascular malformations (VMs) has been previously reported for select patient populations. Larger studies, over a wider variety of indications, are needed to better define the potential role of this technology. In the current study, a 12-year, retrospective review of 44 patients who underwent 73 intralesional Nd:YAG or diode laser treatments of VMs was performed. The most commonly encountered lesions were venous malformations (66%) and the most commonly involved anatomic locations were the head and neck regions (41%) and lower extremity (39%). Primary indications for treatment were enlargement (73%) and pain (52%). Lesion size was reduced in 94% of cases after treatment and pain was improved in 91% of cases. Minor postoperative complications occurred in 16 (36%) patients. There was no difference in treatment response among various VM subtypes or anatomic locations (P = 0.497, P = 0.866) or in the incidence of complications (P = 0.531, P = 0.348). Age was the only factor associated with an increased risk of complications (odds ratio, 1.034; P = 0.038). When used in accordance with the suggested guidelines, intralesional laser therapy is a safe and effective treatment modality for VMs of varying compositions and locations.

Original languageEnglish (US)
Pages (from-to)547-551
Number of pages5
JournalAnnals of plastic surgery
Volume73
Issue number5
DOIs
StatePublished - 2014
Externally publishedYes

Keywords

  • Arterial malformation
  • Capillary malformation
  • Hemangioma
  • Laser
  • Lymphatic malformation
  • Vascular malformations
  • Venous malformation

ASJC Scopus subject areas

  • Surgery

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