glassplatecompression

Bycompressionofthecapillarylayerontotheneighbouring layers thelaser beam getsmorefocused.

 

icecubecooling

Whentheskinandsuperficiallayersareprotectedfromthe thermalinjury by cooling,highlaserbeamenergy canbe focuseddirectlyintothedeeperareasofthe hemangioma withoutburning theoverlyingskin.
intralesional barefibre AfterpuncturingthedeeppartsofthehemangiomabyaTeflon canula,a freshbroken bare fibreisintroducedthrough this canulaanddirectly positionedinthelesion`scentre.To avoid anydamagetothecanulaadistanceofapproximately5mm betweenthetipofthebarefibreandtheendofthecanulahas tobekept.Thelesionistreatedina fan-shape fashionwitha maximumpowerof5W.Inparallel,thetemperatureofthe laserirradiated tissuehastobe controlledconstantlyby two fingertipstocessatethelaserapplicationimmediately,if necessary.
Table 2: Details of surgical laser techniques applied.