Management of congenital subglottic hemangioma: trends and success over the past 17 years

To evaluate the success and complications of various treatment options of congenital subglottic hemangioma. Reported cases were grouped by treatment modalities and corresponding outcome evaluated. From 1986 through 2002, 372 patients were reported in 28 series. Carbon dioxide laser had 88.9% success...

Full description

Saved in:
Bibliographic Details
Published inOtolaryngology-head and neck surgery Vol. 132; no. 2; p. 226
Main Authors Bitar, Mohamed A, Moukarbel, Roger V, Zalzal, George H
Format Journal Article
LanguageEnglish
Published England 01.02.2005
Subjects
Child, Preschool
Female
Glottis - surgery
Hemangioma - congenital
Hemangioma - diagnosis
Hemangioma - therapy
Humans
Infant
Infant, Newborn
Laryngeal Neoplasms - congenital
Laryngeal Neoplasms - diagnosis
Laryngeal Neoplasms - therapy
Male
Otorhinolaryngologic Surgical Procedures - trends
Treatment Outcome
Online AccessGet more information

Cover

More Information
Summary:To evaluate the success and complications of various treatment options of congenital subglottic hemangioma. Reported cases were grouped by treatment modalities and corresponding outcome evaluated. From 1986 through 2002, 372 patients were reported in 28 series. Carbon dioxide laser had 88.9% success rate yet 5.5 % significant subglottic stenosis. It shortened the tracheotomy duration by 13.7 months. Corticosteroids were not that beneficial (useful in only 24.5%) with 12.9% side effects. Intralesional corticosteroids were successful in 86.4% with 5.6% complication rate. Surgical excision (as young as 2.5 months), was useful in 98% with 10% complication rate, using cartilage grafts in 34%. Other modalities were less popular. Treatment should be individualized. Guidelines are suggested. Priority is given to secure the airways. The CO 2 laser is useful when used cautiously. Steroids may be beneficial. Excision is for stubborn cases.
ISSN:0194-5998
DOI:10.1016/j.otohns.2004.09.136