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Subglottic Hemangioma: A New Approach to Management

Subglottic Hemangioma: A New Approach to Management Abstract Tracheostomy, followed by irradiation or, more recently, systemic corticosteroids, has been the treatment of choice for airway obstruction caused by subglottic hemangioma.1-3 Temporary nasotracheal intubation for other causes of severe upper airway obstruction, such as epiglottitis and infectious croup has largely supplanted tracheostomy. The purpose of this report is to present a case of subglottic hemangioma producing severe airway obstruction that was successfully treated by the use of short-term nasotracheal intubation and systemic corticosteroids. Report of a Case.—A 3-month-old girl was referred for admission for evaluation of inspiratory stridor of approximately six weeks' duration. The child was noted to be in moderate respiratory distress, with inspiratory stridor and intercostal and subcostal retractions. A 5 × 8-mm "strawberry" hemangioma that had enlarged progressively from birth was noted on the right side of the neck. The rest of the examination was normal. An arterial blood sample on admission showed Po References 1. Ferguson CF, Flake CG: Subglottic hemangioma as a cause of respiratory obstruction in infants . Ann Otol Rhinol Laryngol 70:1095-1112, 1961. 2. Tefft M: The radiotherapeutic management of subglottic hemangioma in children . Radiology 86:207-214, 1966.Crossref 3. Cohen SR: Unusual lesions of larynx, trachea, and bronchial tree . Ann Otol Rhinol Laryngol 78:476-488, 1969. 4. Lee MH, Ramonathan S, Chalon J, et al: Subglottic hemangioma . Anesthesiology 45:459-462, 1976.Crossref 5. Milko DO, Marshak G, Striker TW: Nasotracheal intubation in the treatment of acute epiglottitis . Pediatrics 53:674-677, 1974. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Subglottic Hemangioma: A New Approach to Management

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Subglottic Hemangioma: A New Approach to Management

Abstract

Abstract Tracheostomy, followed by irradiation or, more recently, systemic corticosteroids, has been the treatment of choice for airway obstruction caused by subglottic hemangioma.1-3 Temporary nasotracheal intubation for other causes of severe upper airway obstruction, such as epiglottitis and infectious croup has largely supplanted tracheostomy. The purpose of this report is to present a case of subglottic hemangioma producing severe airway obstruction that was successfully treated by the...
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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1979.02130070089022
Publisher site
See Article on Publisher Site

Abstract

Abstract Tracheostomy, followed by irradiation or, more recently, systemic corticosteroids, has been the treatment of choice for airway obstruction caused by subglottic hemangioma.1-3 Temporary nasotracheal intubation for other causes of severe upper airway obstruction, such as epiglottitis and infectious croup has largely supplanted tracheostomy. The purpose of this report is to present a case of subglottic hemangioma producing severe airway obstruction that was successfully treated by the use of short-term nasotracheal intubation and systemic corticosteroids. Report of a Case.—A 3-month-old girl was referred for admission for evaluation of inspiratory stridor of approximately six weeks' duration. The child was noted to be in moderate respiratory distress, with inspiratory stridor and intercostal and subcostal retractions. A 5 × 8-mm "strawberry" hemangioma that had enlarged progressively from birth was noted on the right side of the neck. The rest of the examination was normal. An arterial blood sample on admission showed Po References 1. Ferguson CF, Flake CG: Subglottic hemangioma as a cause of respiratory obstruction in infants . Ann Otol Rhinol Laryngol 70:1095-1112, 1961. 2. Tefft M: The radiotherapeutic management of subglottic hemangioma in children . Radiology 86:207-214, 1966.Crossref 3. Cohen SR: Unusual lesions of larynx, trachea, and bronchial tree . Ann Otol Rhinol Laryngol 78:476-488, 1969. 4. Lee MH, Ramonathan S, Chalon J, et al: Subglottic hemangioma . Anesthesiology 45:459-462, 1976.Crossref 5. Milko DO, Marshak G, Striker TW: Nasotracheal intubation in the treatment of acute epiglottitis . Pediatrics 53:674-677, 1974.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jul 1, 1979

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