Treatment of “Cyrano” Angioma with Pulsed Dye Laser

BACKGROUND Hemangiomas of the nasal tip, the so-called Cyrano nose, are often deep, disfiguring, and persistent. OBJECTIVE To evaluate the effect of treatment with pulsed dye laser on Cyrano nose. METHODS A 3-month-old boy with hemangioma of the nasal tip of 1-months duration underwent six sessions of pulsed dye laser treatment with a 7 mm collimated beam at fluences of 5.75–6.5 J/cm2, 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 treatment 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 hemangiomas since it effectively reduces the lesions with minimal adverse effects.

[1]  D. Metry,et al.  Benign cutaneous vascular tumors of infancy: when to worry, what to do. , 2000, Archives of dermatology.

[2]  I. Pitanguy,et al.  Surgical Treatment of Hemangiomas of the Nose , 1996, Annals of plastic surgery.

[3]  R. Barlow,et al.  Treatment of proliferative haemangiomas with the 585nm pulsed dye laser , 1996, British Journal of Dermatology.

[4]  J. Hobby,et al.  The 'Pinocchio' nasal deformity due to cavernous lymphangioma. , 1995, Journal of the Royal Society of Medicine.

[5]  M. Landthaler,et al.  Laser therapy of childhood haemangiomas , 1995, The British journal of dermatology.

[6]  R. Roddi,et al.  Early Excision of Nasal Hemangiomas: The L‐Approach , 1994, Plastic and reconstructive surgery.

[7]  I. James,et al.  ["Cyrano" angiomas]. , 1992, Pediatrie.

[8]  R G Geronemus,et al.  Capillary hemangiomas and treatment with the flash lamp-pumped pulsed dye laser. , 1991, Archives of dermatology.

[9]  C. Koopmann.  The "Pinocchio" nasal deformity--hemangioma vs. angiolipoma: esthetic correction and etiology. , 1988, The Journal of otolaryngology.

[10]  M. Lanigan,et al.  The Cyrano Nose: A Clinical Review of Hemangiomas of the Nasal Tip , 1979, Plastic and reconstructive surgery.

[11]  S. Wynn.  Aesthetic Reduction of Pinocchio-Nose Hemangioma Hemangioma , 1976 .

[12]  S. Wynn.  Aesthetic reduction of "pinocchio"-nose hemangioma. , 1976, Archives of otolaryngology.

[13]  J. Brown,et al.  Treatment of hemangiomas. , 1952, A.M.A. archives of surgery.