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Commentary on Combination of Sclerotherapy and Dual-Wavelength Laser in the Management of Infantile Hemangiomas in Chinese Patients
摘要: We commend the authors for their open-label clinical trial demonstrating the benefit of combination of lauromacrogol sclerotherapy and dual-wavelength vascular laser in separate visits for the treatment of infantile hemangiomas (IHs). Although oral and topical beta-blockers or oral steroids are the most commonly used treatments, some patients may be unable to tolerate or their parents unwilling to assume the systemic risks of these medications, making sclerosing agents and lasers particularly attractive, localized treatment options. Sclerosing agents may also serve as a valuable adjunct therapy to decrease the total duration of concomitant systemic therapy; enhance efficacy for large, pedunculated, or rapidly proliferating lesions that are more likely to be resistant to systemic therapies alone; or to reduce lesion bulk and reduce the risk of intraoperative bleeding before surgical excision.
关键词: infantile hemangiomas,Chinese patients,dual-wavelength laser,sclerotherapy
更新于2025-09-12 10:27:22
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Combination of Sclerotherapy and Dual-Wavelength Laser in the Management of Infantile Hemangiomas in Chinese Infants
摘要: OBJECTIVE To evaluate the efficacy and safety of combination therapy with sclerotherapy and dual-wavelength pulsed dye laser (PDL) & Nd:YAG for infantile hemangiomas (IHs). PATIENTS AND METHODS Fifty-nine patients with IH received treatment with sclerotherapy and dual-wavelength PDL & Nd:YAG treatment at 4-week intervals. Observers assessed the size and color of IH using a size rating scale and color rating scale before and after treatments. RESULTS The study showed that IH improved significantly after several sessions of treatment. Sclerotherapy reduced the size of IH, whereas dual-wavelength laser lightened the color of IH. No serious adverse effects occurred. CONCLUSION Combined sclerotherapy and dual-wavelength laser treatment is an effective and safe option for IH.
关键词: infantile hemangiomas,dual-wavelength laser,sclerotherapy,combination therapy
更新于2025-09-11 14:15:04