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Characteristic and follow-up of subglottic hemangiomas in Iranian children
Seyed Ahmad Tabatabaii1, Ghamartaj Khanbabaii, Ali Reza Khatami
1Assistant Professor of Pediatrics, Pediatric Pulmonology Fellow, Mofid Children Hospital, Shahid Beheshti Medical University, Tehran, Iran.
Insights
Subglottic hemangiomas, rare but life-threatening airway tumors in infants, require prompt diagnosis. Early recognition of stridor and respiratory distress is crucial for timely intervention.
Area of Science:
- Pediatric Otolaryngology
- Pediatric Pulmonology
- Medical Research
Background:
- Subglottic hemangiomas are rare benign tumors that can cause life-threatening airway obstruction in infants.
- Unlike cutaneous hemangiomas, subglottic forms present unique diagnostic and management challenges.
Observation:
- Symptoms typically manifest between 6 and 12 weeks of life.
- Key clinical signs include recurrent, persistent, or progressive inspiratory or biphasic stridor, respiratory distress, and feeding difficulties.
- These symptoms necessitate consideration of subglottic hemangioma in infants.
Findings:
- Endobronchoscopic evaluation is the gold standard for confirming subglottic hemangiomas.
- The study reviewed infants presenting with stridor, cough, and respiratory distress.
Implications:
- Early diagnosis and intervention are critical for preventing severe airway compromise.
- Increased awareness among clinicians can lead to earlier identification and improved outcomes for affected infants.
- Further research into optimal management strategies for subglottic hemangiomas is warranted.
Abstract:
Subglottic hemangiomas are very rare in compare with cutaneous form but can be life-threatening in the proliferating phase of tumor by airway obstruction. It should be considered in any child with recurrent, persistent and/or progressive, inspiratory or biphasic stridor, respiratory distress and feeding difficulties in the first months of life. It should be confirmed by endobronchoscopic evaluation. Affected infants are most likely to experience symptoms between the ages of 6 and 12 weeks. Infants who admitted and referred to our hospital with recurrent stridor, cough and respiratory distress were reviewed.
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