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Open excision of subglottic hemangiomas to avoid tracheostomy
Shyan Vijayasekaran1, David R White, Benjamin E J Hartley
1Department of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA. shyan.vijayasekaran@cchmc.org
Archives of Otolaryngology--Head & Neck Surgery
|February 24, 2006
Summary
Open surgical excision effectively treats subglottic hemangioma, often avoiding tracheostomy. This single-stage procedure offers good voice and airway outcomes in most children, minimizing complications.
Area of Science:
- Pediatric Otolaryngology
- Surgical Oncology
Background:
- Subglottic hemangioma is a benign vascular tumor.
- Management often involves tracheostomy, impacting quality of life.
Purpose of the Study:
- To evaluate open excision as an alternative to tracheostomy for subglottic hemangioma.
- To assess the efficacy and safety of surgical excision.
Main Methods:
- Retrospective review of 22 pediatric patients.
- 10-year study period at a tertiary pediatric center.
- Analysis of surgical outcomes, complications, and follow-up.
Main Results:
- 21/22 patients underwent single-stage excision.
- 7 patients decannulated at the time of surgery.
- No subglottic stenosis; 21/22 had good voice and airway function post-op.
- 5 patients experienced postoperative complications requiring further intervention.
Conclusions:
- Open surgical excision is a viable alternative to tracheostomy for subglottic hemangioma.
- Incorporating laryngotracheal reconstruction techniques improves outcomes.
- This approach can reduce the need for repeated procedures and prolonged treatments.