Shapshay S M, David L M, Zeitels S
Laryngoscope. 1987 Mar;97(3 Pt 1):323-30.
Hemangiomas of the head and neck region can be a therapeutic challenge depending on their size, flow rate, and location. The neodymium-yttrium aluminum garnet (Nd-YAG) laser was used to treat 16 pediatric and adult patients with cavernous, capillary, and mixed hemangiomas as well as hypertrophic port-wine stains of the head and neck. Low-power energy and intermittent short exposure accomplished photocoagulation with minimal damage to surrounding tissue. Follow-up study in these patients has ranged from 1 to 3 years with excellent results in 14 of 16 patients. Few complications and no major morbidity or mortality occurred. Photocoagulation of hemangiomas of the head and neck using the Nd-YAG laser appears to be an exciting new therapeutic option for this difficult problem. Further clinical study and follow-up appear to be warranted.
头颈部血管瘤根据其大小、血流速度和位置，可能是一个治疗难题。钕钇铝石榴石（Nd-YAG）激光被用于治疗16例患有海绵状、毛细状和混合型血管瘤以及头颈部肥厚性葡萄酒色斑的儿童和成人患者。低能量和间歇性短时间照射实现了光凝，对周围组织的损伤最小。对这些患者的随访研究时间为1至3年，16例患者中有14例效果极佳。几乎没有并发症发生，也没有出现严重的发病或死亡情况。使用Nd-YAG激光对头颈部血管瘤进行光凝似乎是解决这一难题的一个令人兴奋的新治疗选择。进一步的临床研究和随访似乎是必要的。
