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Surgical removal of subglottic hemangiomas in children
T Van Den Abbeele1, J M Triglia, E Lescanne
1Department of Pediatric Otorhinolaryngology, Robert Debré Hospital, Paris, France. thierry.van-den-abbeele@rdb.ap-hop-paris.fr
Objective:
To examine the indications and the results of surgical excision of severe subglottic hemangiomas.
Design:
Retrospective study and case series.
Setting:
Four academic tertiary care centers of pediatric otolaryngology.
Patients:
Twenty children were included from 1991 to 1997. All presented with severe subglottic hemangiomas resistant to classical treatments such as corticosteroids and/or CO2 laser.
Intervention:
Six children were operated on using laryngotracheal reconstruction and prolonged stenting by a reinforced Silastic roll and 14 children were operated on by a single-stage laryngotracheoplasty and postoperative intubation in a pediatric intensive care unit.
Results:
All patients were successfully decannulated or extubated and have been free from recurrent hemangiomas.
Conclusion:
The surgery of severe subglottic hemangiomas is a reliable technique in selected patients and should be considered in corticoresistant or corticodependent, circular, or bilateral hemangiomas.