Treatment of congenital subglottic hemangiomas: our experience compared with reports in the literature

Archives of Otolaryngology--head & Neck Surgery
Roberto SaettiSurendra Narne

Abstract

To evaluate the outcome of our experience in the treatment of congenital subglottic hemangiomas. Retrospective review of records. Airway tertiary care service. From 1986 to 2006 we treated 39 pediatric patients affected by congenital subglottic hemangiomas. Therapeutic choice depended on presentation symptoms and grade of respiratory obstruction: 6 patients were primarily treated with only systemic steroids; 11 patients underwent intralesional corticosteroid injections followed by tracheal intubation and systemic steroid support; and 22 patients underwent primary diode laser treatment. The outcomes were evaluated according to 1 or more of the following criteria: resolution of symptoms, reduction of airway obstruction, the need and duration of intubation, tracheotomy decannulation, need of further treatments, and occurrence of complications. Patients treated with only systemic steroids showed a success rate of 50% (3 of 6); patients who underwent intralesional corticosteroid injections followed by tracheal intubation and systemic steroid support reached a positive result in 73% of cases (8 of 11). On the whole, 18% of patients treated with full-dose systemic steroids developed significant adverse effects (3 of 17). The success r...Continue Reading

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