Patients with port-wine marks are often told by the physician that there is no successful treatment for this condition. This type of lesion is usually not responsive to x-rays, radium therapy, or cryotherapy. After observing such a case treated by Lincoln* with electrodesiccation, I have treated an additional four cases by this method, all of whom have shown considerable improvement in cosmetic appearance. This report concerns the method of treatment, and case reports of two of these adult patients are given.
A solution of 1% lidocaine (Xylocaine) hydrochloride is injected beneath the area to be treated. The power control of the Bovie electrosurgical unit which I employ is turned to between 40 and 60. depending on the thickness of the lesion. The needle is moved slowly and evenly over the lesion, allowing a good spark between the needle and the skin surface. The desiccated skin is rubbed
VANDER PLOEG DE. Treatment of Port-Wine Hemangiomas by Electrodesiccation. AMA Arch Derm. 1958;77(6):732–734. doi:10.1001/archderm.1958.01560060098023