Efficacy of Pulsed Dye Laser in Facial Port-Wine Stains in Indian Patients

/Home/Cosmetic Laser Treatments/Port Wine Stain Removal - Laser Treatment/Port Wine Stains (PWS) Treatment

Efficacy of Pulsed Dye Laser in Facial Port-Wine Stains in Indian Patients
May 2007
To cite this article: VINOD K. SHARMA MD, MNAMS, SUJAY KHANDPUR MD, DNB, MNAMS (2007)
Efficacy of Pulsed Dye Laser in Facial Port-Wine Stains in Indian Patients
Dermatologic Surgery 33 (5), 560Ò566.
doi:10.1111/j.1524-4725.2007.33114.x

VINOD K. SHARMA, MD, MNAMS*
*Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India, AND SUJAY KHANDPUR, MD, DNB, MNAMS**Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India*Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
Address correspondence and reprint requests to: Vinod K Sharma, MD, MNAMS, Professor and Head, Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi 110029, India, or e-mail: aiimsvks@yahoo.com.
Vinod K. Sharma, MD, MNAMS, and Sujay Khandpur, MD, DNB, MNAMS, have indicated no significant interest with commercial supporters.

Abstract
BACKGROUND Facial port-wine stain (PWS) produces severe cosmetic disfigurement and pulsed dye laser (PDL) has revolutionized the treatment of PWS.

OBJECTIVE To assess the efficacy of PDL for facial PWS in Indian patients.

MATERIALS AND METHODS Twenty-seven patients of Fitzpatrick skin types IV and V in the age group of 8 to 34 years (mean 21.6 years), with lesional size 3 ? 1.5 to 25 ? 19 cm and color from light pink to deep red and violaceous, were recruited. Laser parameters were spot size, 7mm; fluence, 5 to 7.5 J/cm2; wavelength, 585 nm, pulse duration, 0.45 ms; along with continuous air cooling. Response at every session was graded from 0 to 5+(0, no improvement; 1+, up to 25%; 2+, 26% to 50%; 3+, 51% to 75%; 4 +, 76% to 99%; 5+, 100% lightening).

RESULTS In a total of 170 sessions, maximum response of 1+ was observed in 6 patients after mean of 3.5 sessions, 2+ in 8 patients after mean of 5.25 sessions, 3+ in 8 patients after mean of 7 sessions, and 4+ improvement in 5 patients after mean of 4.8 sessions. No patient showed complete clearance. Seven patients developed hyperpigmentation while 1 patient showed hypopigmentation, but none had textural change or scarring.

CONCLUSION PDL offers significant cosmetic improvement in facial PWS in Indian patients.

Blackwell Synergy? is a Blackwell Publishing, Inc. registered trademark

You can view the abstract online. A subscription is required to view the full text or it can be purchased online.