![]() We have participated in numerous studies and published multiple articles on this subject to help other practitioners treat their patients effectively. Our center specializes in the outpatient management of patients with this condition and services can also be provided at the New York Eye & Ear Infirmary for those patients requiring general anesthesia. Our physicians have over thirty (34) years of experience in the treatment of port-wine stains in infants, children, and adults. We see patients across the country and around the globe who seek our experience and expertise to treat even the more challenging markings. The physicians at the Laser & Skin Surgery Center of New York are world experts in the area of port-wine stain treatments. The degree of success in the treatment varies based upon the anatomical location of the port-wine stain. Treatment is usually suggested as port-wine stains most commonly darken and thicken as one ages, sometimes leading to spontaneous bleeding. Typically, a series of treatment sessions is required to obtain the maximum benefit. Laser treatment for port-wine stains is generally effective and safe. For children, we begin treatment early in infancy. It also has the potential to reduce the total duration of a course of treatment significantly.We provide comprehensive laser treatments for children and adults with port-wine stains. Preliminary data suggest that a treatment interval of 2 weeks is well tolerated by patients and resulted in greater lightening of the PWS in the majority, compared with a standard 6-week interval. There were no adverse reactions from the treatments. This agreed closely with independent observer assessment judging that the 2-week treatment interval resulted in better lightening of the PWS than the 6-week treatment interval (P = 0.003). Using the nonparametric Wilcoxon matched-pair signed rank test, the 2-week treatment interval site resulted in greater reduction in reflectance measurements compared with the 6-week treatment interval site (P < 0.01). In 11 sites (69%), the 2-week interval treatment resulted in greater reduction in reflectance than the 6-week interval treatment. Three patients had two PWS each treated separately, giving a total of 16 treated PWS sites. Of the 15 patients, 13 completed the study. Complications were recorded throughout the study period. The outcome measure was lightening of the PWS as measured with a reflectance spectrophotometer. At 12 weeks an observer blinded to treatment allocation clinically evaluated the results. Both halves of the PWS thus were treated twice in total, once at the initial visit and the second treatment either at 2 weeks or 6 weeks from initial visit. Half of the PWS was randomly allocated to be treated at 2 weeks and the other half at 6 weeks from initial visit. Each patient had the whole PWS treated at initial visit. ![]() ![]() We prospectively investigated 15 patients with PWS. ![]() To establish whether the treatment of PWS with the variable pulse width 595-nm (V-beam) PDL at 2-week intervals achieves better results, with no difference in the complication rate, than treatment given at 6-week intervals. ![]() It is uncertain whether treatment is more effective if administered at shorter time intervals. However, there are no studies on the effect of treating PWS at different time intervals, and the ideal time interval between treatments has not yet been agreed. Multiple treatments are usually necessary, with standard treatment intervals ranging between 6 and 12 weeks. The pulsed-dye laser (PDL) is the treatment of choice for port-wine stains (PWS). ![]()
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