Multiplex Laser for treating Non Involuting Congenital Haemangiomas (NICH) in children
Keywords:
Congenital Haemangioma, laser treatment, non-involuting congenital haemangioma, children, birth markAbstract
Background Non-involuted congenital haemangioma (NICH) is a form of congenital haemangioma that does not involute or regress. Previous treatment has involved excision of troublesome lesions. Methods We present the use of CYNERGY (multiplex) laser in the management of NICH in the paediatric population. Seven children underwent CYNERGY therapy, at 595nm PDL and 1064nm Nd:YAG as a combined laser. Three children had general anaesthetic (GA), while four were treated using local anaesthetic gel. We used photographic analysis for pre and post treatment assessment using a colour coded chart. Results In all cases there was marked improvement in redness as well as reduction in the bulk. Average improvement was achieved by 75% following total of 3-8 treatments. Three patients received over 90% resolution. All three had procedure under GA. Conclusion  We have shown that vascular lasers, specifically Multiplex, has a further role to play in this condition. We noted that clinicians are more willing to treat under GA as an increase in total number of pulses was seen to achieve greater clinical improvement. None of the patients treated with multiplex required debulking surgery.ÂReferences
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