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Surgical Removal of Subglottic Hemangiomas in Children
Author(s) -
Van Den Abbeele Thierry,
Triglia JeanMichel,
Lescanne Emmanuel,
Roger Gilles,
Nicollas Richard,
Ployet MarieJosèphe,
Garabédian EréaNoël,
Narcy Philippe
Publication year - 1999
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199908000-00018
Subject(s) - medicine , general surgery
Objective: To examine the indications and the results of surgical excision of severe subglottic hemangiomas. Design: Retrospective study and case series. Setting: Four academic tertiary care centers of pediatric otolaryngology. Patients: Twenty children were included from 1991 to 1997. All presented with severe subglottic hemangiomas resistant to classical treatments such as corticosteroids and/or CO 2 laser. Intervention: Six children were operated on using laryngotracheal reconstruction and prolonged stenting by a reinforced Silastic roll and 14 children were operated on by a single‐stage laryngotracheoplasty and post‐operative intubation in a pediatric intensive care unit. Results: All patients were successfully decannulated or extubated and have been free from recurrent hemangiomas. Conclusion: The surgery of severe subglottic hemangiomas is a reliable technique in selected patients and should be considered in corticoresistant or corticodependent, circular, or bilateral hemangiomas.