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Congenital Cervicofacial Haemangioma With Deep Airway Extension
Mohamed Elmarghani1, Fergus Cooper1, Irfaan Mohangee2
1Otolaryngology, Aberdeen Royal Infirmary, Aberdeen, GBR.
Cureus
|May 16, 2025
Summary
A congenital cervical hemangioma became symptomatic in a man after increased physical activity. Despite deep airway extension, he maintains a good quality of life without intervention.
Area of Science:
- Vascular Malformations
- Head and Neck Surgery
- Airway Management
Background:
- Congenital cervical hemangiomas are rare vascular tumors that can present in adulthood.
- Symptomatic presentation often relates to mass effect or secondary complications.
Observation:
- A middle-aged male with a long-standing congenital cervical hemangioma developed neck discomfort with physical activity.
- Imaging and flexible laryngoscopy revealed significant deep airway extension of the hemangioma.
- Previous concerns regarding intubation difficulty due to the hemangioma were noted.
Findings:
- The hemangioma extended deeply into the airway, causing symptoms during strenuous activity.
- Flexible laryngoscopy and CT imaging demonstrated more extensive airway involvement than initially presumed.
- Management options for airway hemangiomas were considered.
Implications:
- This case highlights the potential for congenital cervical hemangiomas to become symptomatic with lifestyle changes.
- It underscores the importance of thorough airway assessment in patients with head and neck vascular malformations.
- The case demonstrates that conservative management can be successful even with significant airway compromise.
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