Gosepath K, Pfeiffer N, Mann W J
HNO-Universitätsklinik Mainz.
Laryngorhinootologie. 1997 May;76(5):284-8. doi: 10.1055/s-2007-997428.
Cavernous hemangiomas are benign vascular lesions which are apparent at birth or soon thereafter. Although hemangiomas involute spontaneously, cosmetically unacceptable results or life-threatening complications may occur, necessitating early therapy.
Thirty-four patients with facial cavernous hemangiomas were treated with a cw-neodymium:YAG laser. Before, during, and after the treatment the skin was cooled with ice. The quartz fiber was used in contact or non-contact technique, and in very large hemangiomas we used interstitial treatment.
In all patients a clear reduction of the tumor size was achieved. In 26 cases the tumor disappeared completely. Usually there is considerably swelling of the tumor immediately after treatment which decreases within some days. Side effects include local hyperemia and slight burns. Scarring was seen in only two cases.
Facial cavernous hemangiomas can be treated satisfactory by the neodymium:YAG laser. Safe, active intervention with this laser is possible in most, if not in all, cases and it provides an alternative to other treatment modalities including the neglect of these lesions.
海绵状血管瘤是出生时或出生后不久即出现的良性血管病变。尽管血管瘤可自然消退，但可能会出现美容效果不佳或危及生命的并发症，因此需要早期治疗。
34例面部海绵状血管瘤患者接受了连续波钕：钇铝石榴石激光治疗。治疗前、治疗期间和治疗后用冰敷皮肤。石英纤维采用接触或非接触技术，对于非常大的血管瘤采用间质治疗。
所有患者肿瘤大小均明显缩小。26例肿瘤完全消失。通常治疗后肿瘤立即会有明显肿胀，数天内会消退。副作用包括局部充血和轻微烧伤。仅2例出现瘢痕形成。
钕：钇铝石榴石激光可令人满意地治疗面部海绵状血管瘤。在大多数（即便不是全部）病例中，使用这种激光进行安全、积极的干预是可行的，它为包括忽视这些病变在内的其他治疗方式提供了一种替代方法。
