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Diagnosis and Management of Infantile Hemangioma

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had tracheostomy compared with those who had no tracheostomy, <strong>and</strong> parental worry about the<br />

fate <strong>of</strong> the child lessened earlier if the child did not have a tracheostomy. Table 27 outlines key<br />

outcomes.<br />

Table 27. Key resolution outcomes in comparative studies <strong>of</strong> Nd:YAG laser<br />

Age,<br />

Months<br />

Author, Year<br />

Groups (n)<br />

Quality<br />

Achauer et al.<br />

1989 217<br />

G1: Argon (30)<br />

G2: Nd:YAG<br />

(25)<br />

Quality: Poor<br />

Type<br />

Age<br />

G1+G2:<br />

range 2<br />

weeks to 5<br />

years<br />

Type<br />

NR<br />

Location<br />

G1+G2: multiple<br />

Methods <strong>and</strong> Measures<br />

<strong>of</strong> Resolution/Response<br />

• % reduction in volume<br />

graded:<br />

Excellent: 90-100%<br />

Good: 51-89%<br />

Fair: 25-50%<br />

Poor: 0-24%<br />

• Blinded assessment:<br />

not clear<br />

Resolution Outcomes<br />

Volume reduction, %<br />

Excellent<br />

G1: 35<br />

G2: 44<br />

Good<br />

G1: 17<br />

G2: 28<br />

Fair<br />

G1: 21<br />

G2: 12<br />

Raulin et al.<br />

2001 215<br />

G1: Flashlight<br />

pumped pulsed<br />

dye laser (25)<br />

G2: Long-pulse<br />

Nd:YAG laser<br />

(25)<br />

Age<br />

NR<br />

Type, %<br />

Superficial<br />

G1+G2: 100<br />

G1+G2: multiple<br />

• Photographs<br />

• Independent<br />

evaluation <strong>of</strong><br />

regression rated as<br />

100%, 70-99%,

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