Capillary hemangiomas: case study of a novel laser treatment and a review of therapeutic options.

Capillary (or strawberry) hemangiomas can present a difficult problem in management, and much controversy exists over whether it is better to watch and wait for natural involution, or to be more aggressive and attempt to prevent some of the negative potential sequelae. A case study of a neonate with a large, early macular capillary hemangioma of the head and neck successfully treated with the 585-nm pulsed dye laser is presented. In addition, a review of a number of treatments for more advanced lesions is presented. Modalities discussed include argon, carbon dioxide, and neodymium: YAG lasers; cryotherapy; local and systemic steroids; and surgical excision.