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Infantile subglottic hemangioma treated by intralesional steroid injection: report of one case
Lin-Yen Wang1, Han-Yang Hung, Kuo-Sheng Lee
1Department of Pediatrics, Mackay Memorial Hospital, Main Branch Hospital, No. 92, Sec. 2, Chung-Shun North Road, Taipei, Taiwan.
Infantile subglottic hemangioma is a rare, life threatening disease of the larynx. Various treatments have been described in the literature, including tracheostomy, systemic steroids, intralesional steroid injection, carbon dioxide laser therapy, and interferon alfa-2a. The best treatment, however, remains controversial. We report a case of congenital subglottic hemangioma successfully managed with a single intralesional steroid injection, which resulted in rapid involution of the hemangioma without recurrence after 18 months of follow up. This therapy appears to minimize both short and long term morbidity associated with treatment of this lesion.
Infantile subglottic hemangioma is a rare, life threatening disease of the larynx. Various treatments have been described in the literature, including tracheostomy, systemic steroids, intralesional steroid injection, carbon dioxide laser therapy, and interferon alfa-2a. The best treatment, however, remains controversial. We report a case of congenital subglottic hemangioma successfully managed with a single intralesional steroid injection, which resulted in rapid involution of the hemangioma without recurrence after 18 months of follow up. This therapy appears to minimize both short and long term morbidity associated with treatment of this lesion.
