2006 Volume 27 Issue 4 Pages 297-302
The pulsed dye laser(SPLT-1, Candela) and Q-switched alexandlight laser (ALEX, Candela) were used in the treatment of nevus including congenital angiomas and dermal melanocytosis in 385 children under 15 years old, mainly babies and young children. The laser treatments of children are desirable not to depend on general anesthesia, but in local anesthesia used 7% lidocaine creem, triclofos sodium and chloral hydrate.
The dye laser treatments of portwine were effective so that age is young, and those in faces and trunks were more effective than those in extremities. Some of salmon patches, which is left throughout the life, could be almost removed by the first dye laser treatment. Strawberry mark of tumor type could be diminished earlier and the scars became minimum, if dye laser treatments were given within 1-2 months of age.
An excellent or good response was observed after the treatment by Q-switched alexandlight laser in babies or young children with aberrant mongolian spots or nevus of Ota. Recurrences were seen with about 80-90% in the laser treatments of congenital pigmented nevi or nevus spilus. But 10-20% of them were effective specially in the younger babies.
