Wolff K D, Hölzle F, Eufinger H
Klinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Klinikum der Ruhr-Universität, Knappschaftskrankenhaus Bochum-Langendreer, In der Schornau 23-25, 44892 Bochum-Langendreer.
Mund Kiefer Gesichtschir. 2002 Sep;6(5):303-8. doi: 10.1007/s10006-002-0391-6.
LASER THERAPY: Since the introduction of laser therapy for treatment of hemangiomas and vascular malformations, primary surgical therapy has gradually lost importance. Particularly hemangiomas, but also venous malformations and lymphangiomas, are nowadays primarily treated by different types of lasers. Especially the Nd:YAG laser with a percutaneous or transcutaneous application technique often leads to satisfying results.
Surgical therapy is mostly used secondarily in late childhood or in adults after several laser applications for excision of residual scars or other corrective procedures. Despite these improvements in laser therapy, there is still an indication for primary surgical treatment in subcutaneous vascular malformations and in rapidly growing hemangiomas after unsuccessful laser therapy. Even in large vascular anomalies, safe excision with only a little blood loss is possible if the tumors are encapsulated.
In this paper we want to point out the necessity of primary surgery in three children in whom complications such as loss of sight, facial nerve palsy, and a lethal outcome due to massive hemorrhage in a cystic lymphangioma could be avoided.
激光治疗：自从引入激光治疗血管瘤和血管畸形以来，原发性手术治疗的重要性逐渐降低。如今，尤其是血管瘤，还有静脉畸形和淋巴管瘤，主要通过不同类型的激光进行治疗。特别是采用经皮或经皮应用技术的钕：钇铝石榴石激光常常能取得令人满意的效果。
手术治疗大多在儿童晚期或成人身上作为次要手段，用于在多次激光治疗后切除残留瘢痕或进行其他矫正手术。尽管激光治疗有了这些改进，但对于皮下血管畸形以及激光治疗失败后快速生长的血管瘤，仍有原发性手术治疗的指征。即使是大型血管畸形，如果肿瘤有包膜，也可以进行安全切除且失血很少。
在本文中，我们想指出对三名儿童进行原发性手术的必要性，在这些病例中，诸如失明、面神经麻痹以及因囊性淋巴管瘤大量出血导致的致命后果等并发症得以避免。
