Treatment of "Cyrano" angioma with pulsed dye laser

BACKGROUND Hemangiomas of the nasal tip, the so-called Cyrano nose, are oft en deep, disfiguring, and persistent. OBJECTIVE To evaluate the effect of treatment with pulsed dye laser on Cyra no nose. METHODS A 3-month-old boy with hemangioma of the nasal tip of 1-months dura tion underwent six sessions of pulsed dye laser treatment with a 7 mm colli mated beam at fluences of 5.75-6.5 J/cm(2), 6 weeks apart. RESULTS Initial improvement was noted after two treatments, and the lesion showed a marked reduction in size and improvement in color over a total tre atment period of 9 months. CONCLUSION Treatment with the 585 nm pulsed dye laser should be considered in the management of infants with mild to moderate degrees of nasal tip hem angiomas since it effectively reduces the lesions with minimal adverse effe cts.