TY - JOUR
T1 - Treatment of port-wine stains
T2 - A comparative study of the argon and pulsed dye laser based on our clinical experience
AU - Verna, Giovanni
AU - Pedrale, R.
AU - Kefalas, N.
AU - Fava, F.
AU - Devalle, L.
AU - Baglioni, E.
AU - Renditore, S.
AU - Bianchi, G.
AU - Cravero, L.
PY - 2003
Y1 - 2003
N2 - Port-wine stains are rather frequent congenital vascular malformations, with an even distribution between the sexes at birth of approximately 0.3%. Port-wine stains can be classified in two different clinical forms: premature and mature. In childhood, premature port-wine stains can have a spontaneous regression and, in most cases, they just need careful clinical surveillance. On the other hand, mature port-wine stains evolve from a rosy macular lesion, present at birth, to a dark red or purple lesion, sometimes a hypertrophic and nodular lesion, which gets progressively bigger with the corporal development of the concerned area. Most port-wine stains are located on the head and neck, with an 85% emisomatic and dermatomeric distribution. The aesthetic damage can be highly significant leading to remarkable psychological problems. Therapies are manifold, surgical or non surgical. Our study considers 203 patients treated from 1994 to 2000, presenting port-wine lesions, and compares their treatment with an Argon laser and a Candela pulsed dye laser. Although the pulsed dye laser is the first choice for the treatment of port-wine lesions, the Argon laser gives better results with dark flat port-wine stains.
AB - Port-wine stains are rather frequent congenital vascular malformations, with an even distribution between the sexes at birth of approximately 0.3%. Port-wine stains can be classified in two different clinical forms: premature and mature. In childhood, premature port-wine stains can have a spontaneous regression and, in most cases, they just need careful clinical surveillance. On the other hand, mature port-wine stains evolve from a rosy macular lesion, present at birth, to a dark red or purple lesion, sometimes a hypertrophic and nodular lesion, which gets progressively bigger with the corporal development of the concerned area. Most port-wine stains are located on the head and neck, with an 85% emisomatic and dermatomeric distribution. The aesthetic damage can be highly significant leading to remarkable psychological problems. Therapies are manifold, surgical or non surgical. Our study considers 203 patients treated from 1994 to 2000, presenting port-wine lesions, and compares their treatment with an Argon laser and a Candela pulsed dye laser. Although the pulsed dye laser is the first choice for the treatment of port-wine lesions, the Argon laser gives better results with dark flat port-wine stains.
KW - Argon laser
KW - Dark flat PWS
KW - Port wine stains
KW - Pulsed dye laser
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M3 - Article
AN - SCOPUS:3042643497
VL - 35
SP - 117
EP - 120
JO - Rivista Italiana di Chirurgia Plastica
JF - Rivista Italiana di Chirurgia Plastica
SN - 0391-2221
IS - 3-4
ER -