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Diagnosis and Management of Infantile Hemangioma

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Table 39. Strength <strong>of</strong> evidence for harms <strong>of</strong> laser modalities (continued)<br />

Intervention<br />

Surgical<br />

Excision or<br />

Resection<br />

Outcome<br />

Study Design<br />

Quality <strong>and</strong> Number <strong>of</strong><br />

Studies (N Total)<br />

Scarring<br />

Case series: 2 poor 249,251<br />

(142)<br />

Study<br />

Limitations<br />

Consistency Directness Precision<br />

Reporting<br />

Bias<br />

Finding<br />

Strength <strong>of</strong> Evidence Grade<br />

High Consistent Direct Imprecise NA Scarring in 11/192 children.<br />

Insufficient SOE due to few<br />

occurrences <strong>of</strong> the outcome<br />

reported in studies.<br />

Wound dehisecence<br />

Case series: 7<br />

poor 238,240,241,243,246,248,251<br />

(483)<br />

High Consistent Direct Imprecise NA Dehiscences in 20/483 children.<br />

Insufficient SOE due to few<br />

occurrences <strong>of</strong> the outcome<br />

reported in studies with high<br />

limitations.<br />

IH = infantile hemangioma; n = number; NA = not applicable; Nd:YAG = neodymium yttrium aluminium garnet; QoL = quality <strong>of</strong> life; PDL = pulse dye laser;<br />

RCT = r<strong>and</strong>omized, controlled trial; SOE = strength <strong>of</strong> evidence<br />

100

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