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[Treatment of laryngeal hemangiomas in children]
Laryngologie, Rhinologie, Otologie
|August 1, 1984
Insights
Subglottic hemangiomas in infants can obstruct airways and are life-threatening, often necessitating tracheostomy. Capillary forms, however, undergo spontaneous regression and require no active treatment.
Area of Science:
- Pediatric Otolaryngology
- Infant Airway Management
Background:
- Subglottic hemangioma is a rare congenital vascular tumor.
- Airway obstruction is a significant clinical concern in affected infants.
Observation:
- Analysis of 3 personal cases and 171 literature cases.
- Evaluation of clinical presentation, diagnosis, and treatment strategies.
Findings:
- Subglottic hemangiomas pose a life-threatening risk due to airway obstruction.
- High mortality rate (19%) reported in existing literature.
- Capillary subglottic hemangiomas exhibit spontaneous regression, obviating active treatment.
Implications:
- Early diagnosis and appropriate management are crucial for improving infant outcomes.
- Understanding the natural history of capillary hemangiomas guides therapeutic decisions.
- Tracheostomy may be required in severe cases, but conservative management is preferred for regressing types.
Abstract:
Based on 3 observations of our own and a survey of 171 cases reported in the literature, the clinical, diagnostical and therapeutical aspects of subglottic haemangioma in infants are presented. By obstructing subglottic air passage these tumours can threaten life and often require tracheostomy. Mortality rate reported in literature is still high (19%). Because of their spontaneous regression capillary subglottic haemangiomas do not require further active treatment.