RESUMO
To evaluate the efficacy of sequential application of long Pulsed dye/Nd-YAG lasers in the management of skin and mucous membrane infantile hemangiomas. Management of infantile hemangiomas may be a challenge. Different laser systems have been reported to be of great help for such cases with variable results. In this study we present a unique sequential laser system which deliver pulsed dye laser PDL 595nm followed by Nd-YAG 1064nm to be superior than other reported techniques. Twenty five cases of infantile hemangiomas in the head and neck region were selected to he enrolled in this study. Assessment for progress was achieved clinically. We achieved excellent results in eighteen patients [72%] out of the treated 25 patients, with no recurrence after 6 months follow-up. Laser application from skin and mucous membrane sides [sandwich technique] decreased number of sessions. The sequential PDL followed by Nd-YAG laser can be considered as one of the superior methods for management of infantile hemangiomas specially in the head and neck region, due to its excellent cosmetic results with fewer number of treatment sessions