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Dynamic postcricoid venous malformation causing episodic airway obstruction: a multidisciplinary report

Joshua Rapp1,2, Brian Kulbersh3,2, Junaid Raja4,5

  • 1Department of Interventional Radiology Heersink School of Medicine, University of Alabama at Birmingham, 1720 2nd Avenue South, Birmingham, AL, 35294, USA.

Oral Radiology
|June 11, 2026
PubMed

Insights

A rare dynamic venous malformation in a young child's airway was successfully treated with percutaneous ethanol sclerotherapy. This multidisciplinary approach resolved symptoms and the malformation without complications.

Area of Science:

  • Otolaryngology
  • Interventional Radiology
  • Pediatric Airway Disorders

Background:

  • Dynamic postcricoid hypopharyngeal venous malformations are rare in children.
  • These vascular anomalies can cause significant airway obstruction and symptoms.

Purpose of the Study:

  • To report a rare case of a dynamic postcricoid hypopharyngeal venous malformation in a pediatric patient.
  • To detail the diagnostic process and successful treatment using percutaneous ethanol sclerotherapy.

Main Methods:

  • Direct puncture and ethanol sclerotherapy of the venous malformation under general anesthesia.
  • Utilized a controlled Valsalva maneuver to enhance visualization of the lesion.
  • Confirmed intralesional placement with contrast injection prior to sclerotherapy.

Main Results:

  • Percutaneous ethanol sclerotherapy was technically and clinically successful.
  • Follow-up laryngoscopy confirmed complete resolution of the venous malformation.
  • The patient experienced complete symptom resolution without any complications.

Conclusions:

  • Multidisciplinary collaboration is crucial for managing pediatric airway vascular anomalies.
  • Percutaneous alcohol sclerotherapy is a safe and effective treatment for pediatric airway venous malformations.
Abstract

Keywords:
Dynamic airway lesionPediatric airway obstructionPostcricoidSclerotherapyVenous malformation

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