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Management of postcricoid and upper esophageal hemangioma

Mireille Folia1, Nusa Naiman, Rémi Dubois

  • 1Otolaryngology Department, Hopital E. Herriot, Place d'Arsonval, 69003 Lyon, France.

International Journal of Pediatric Otorhinolaryngology
|August 26, 2006
PubMed

Insights

Infantile postcricoid and upper esophageal hemangiomas require tailored management. Severe cases necessitate surgical excision, while moderate cases may respond to intralesional steroids.

Area of Science:

  • Pediatric Gastroenterology
  • Otolaryngology
  • Pediatric Surgery

Background:

  • Postcricoid and upper esophageal hemangiomas are rare pediatric tumors.
  • These lesions can cause significant feeding and respiratory distress in infants.

Observation:

  • Four infants with progressive feeding/respiratory issues underwent esophagoscopy.
  • Hemangiomas were identified in the postcricoid region extending into the upper esophagus.

Findings:

  • Three infants with severe symptoms required open surgical excision for hemangioma control.
  • One infant with moderate symptoms was successfully managed with intralesional steroid injections.
  • No significant stenosis was observed post-surgery, allowing for continued oral feeding.

Implications:

  • Open surgical excision is effective for severe infantile postcricoid/upper esophageal hemangiomas.
  • Intralesional steroids offer a less invasive option for moderate cases.
  • Further studies are needed to refine treatment indications for these rare conditions.

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