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Infantile supraglottic hemangioma: a case report
Mehmet Ada1, M Güven Güvenç, Süleyman Yilmaz
1Department of Otorhinolaryngology-Head and Neck Surgery, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, Turkey. mada@tkbbv.org.tr
Ear, Nose, & Throat Journal
|July 27, 2006
Summary
Supraglottic infantile hemangiomas, rare airway lesions, can cause significant respiratory distress in infants. This case highlights successful management and eventual resolution of a supraglottic hemangioma.
Area of Science:
- Pediatric Otolaryngology
- Vascular Lesions
- Airway Management
Background:
- Infantile hemangiomas are common benign vascular tumors, typically presenting in the subglottic region.
- Supraglottic hemangiomas are exceptionally rare, posing unique diagnostic and management challenges.
Observation:
- A 2-month-old infant presented with inspiratory stridor and dyspnea due to a supraglottic hemangioma.
- The lesion involved the left arytenoid and aryepiglottic fold, compromising the airway.
Findings:
- Initial management involved a tracheostomy to secure the airway.
- Endoscopic follow-up revealed complete resolution of the hemangioma by 30 months of age.
- A Montgomery T-tube was used temporarily to maintain airway patency post-resolution.
Implications:
- This case underscores the importance of considering rare supraglottic hemangiomas in infants with stridor.
- Successful conservative management and endoscopic surveillance are feasible for these lesions.
- Early diagnosis and intervention are crucial for favorable outcomes in infantile airway hemangiomas.