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CLINICAL NOTE An Infantile Bronchial Hemangioma Unresponsive to Propranolol Therapy Case Report and Literature Review David I. Sierpina, BS; Hamad M. Chaudhary, BS; David L. Walner, MD; Gabriel Aljadeff, MD; Ira W. Dubrow, MD urrent options for treating airway hemangiomas include systemic and intralesional corticosteroids, interferon therapy, chemotherapy, use of lasers, open surgical exci- sion, tracheotomy, sleeve resection, and selective artery embolization. The signifi- 1,2 C cant rates of complications described for these methods make the discovery of a 3-9 novel therapy an attractive prospect. Several case reports and case series have recently appeared in the literature describing the use of propranolol as a highly effective option for the treatment of these airway lesions. Therefore, we reviewed the literature for information on the management of airway hemangiomas by performing a comprehensive PubMed search, focusing particularly on the use of propranolol in the treatment of airway hemangiomas, defined as occurring in the subglottis, trachea, and/or bronchi. We also describe a a 3-month-old boy with a large bronchial hemangioma that did not respond to propranolol therapy. On the day of presentation, physical ex- REPORT OF A CASE amination revealed mild to moderate res- piratory distress, 94% oxygen saturation A3-month-oldboypresentedwitha3-week on room
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: May 1, 2011
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