A total of 37 haemangiomas were treated in 28 patients by means of the
flashlamp-pumped pulsed dye laser (FPDL). Twenty-nine haemangiomas we
re classified as superficial, and eight as mixed type. With FPDL treat
ment, excellent or good results were obtained in nearly 60% of superfi
cial haemangiomas and 40% of mixed haemangiomas. In three of four pati
ents with mixed type haemangiomas good results were obtained by means
of Nd:YAG laser irradiation. In two patients, small superficial haeman
giomas were removed by argon laser coagulation or CO2 laser vaporizati
on, respectively. These results indicate that many children benefit fr
om laser therapy of haemangiomas. Side-effects were rare. The FPDL is
the treatment modality of choice for superficial haemangiomas, and the
Nd:YAG laser for thicker lesions. Based on our results and the result
s reported in the literature, early laser therapy of childhood haemang
iomas can be recommended.