Pulsed dye laser treatment, a review of indications and outcome based on published trials.

J M Smit, C G Bauland, D S Wijnberg, P H M Spauwen

British Journal of Plastic Surgery 2005 October

INTRODUCTION: Pulsed dye laser (PDL) treatment is based on the principle of selective photothermolysis and is widely considered to be the treatment of choice for a variety of cutaneous vascular lesions.

OBJECTIVE: To review the indications and outcome of PDL treatment and summarise new developments.

METHOD: A literature-based study has been conducted entailing the review of publications over the period January 1993-December 2003 using the databases Medline and Cochrane CENTRAL.

RESULTS: The PDL was found to be effective in port wine stain, facial telangiectasia, leg telangiectasia <0.5 mm, scars, hypertrophic scars and ulcerated haemangioma.

DISCUSSION: Essential characteristics of lesions suitable for PDL treatment are discussed and guidelines are presented for future research.

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