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Laser treatment of hemangiomas of the larynx and trachea
1Department of Pediatric Surgery, Benjamin Franklin Hospital, Free University of Berlin, Germany. cholewa@medizin.fu-berlin.de
Background And Objective:
Hemangiomas have a typical clinical course and may lead to life-threatening obstruction if the central respiratory tract is involved.
Study Design/Patients And Methods:
This was observed in 32 children over a period of 20 years. The radiation parameters and application procedure of Neodymium:Yttrium-Aluminum-Garnet-laser (Nd:YAG-laser) therapy were adjusted for the degree of obstruction and the type of disease.
Results:
The success rate was 93.8%, of which a maximum of one application was sufficient in 24 children (75.0%). Subglottic cicatricial stenosis was considered a laser-related complication.
Conclusion:
Nd:YAG-laser treatment is a safe and effective therapeutic measure for eliminating respiratory tract obstruction caused by hemangiomas.