Ali .Saafan
Cairo University, Egypt
Title: Selective and nonselective laser applications in treatment of head and neck hemangiomas and vascular malformations
Biography
Biography: Ali .Saafan
Abstract
Lasers have become a treatment of choice for some types of hemangiomas and vascular malformations ..Aim of the work :The aim of this study was to help in stabilization different techniques of laser application in the treatment of soft tissue hemangiomas and vascular mal formations in head and neck .Patients and methods : Different types of lasers were used in this study , ND:YAG 106 4nm , Diode 980nm were applied for non selective photo thermolysis through a fiber optic with gauge 400um with average power 6w-10w in continuous mode , and Dye laser 595 was applied for selective photo thermolysis superficially with energy ranging from 10-12 joule with pulse duration 1.5ms .A series of 100 patients were treated in this study , 46 hemangioma , 38 vascular malformation and 16 lymphangioma .Patients were followed up for five years for detection of recurrence . Results: The procedures were easy to perform in minimum operation time and well tolerated by all patients. No recurrence was detected in hemangiomas , five cases recurrence were detected in vascular malformation and two cases recurrence were detected in lymphangioma. The recurrence were detected in high flow lesions and large communicated lympangiomas. Conclusion: Laser can be considered as an excellent noninvasive safe tool for the treatment of hemangiomas and vascular malformations, in case of use the suitable, parameters and delivery techniques