Subglottic hemangiomas in infants: treatment with intralesional corticosteroid injection and intubation.
Six children with a subglottic hemangioma were treated in the Sophia Children's Hospital in the period 1982-1987 by means of intralesional corticosteroid injection, followed by intubation. After treatment all children were symptomfree. In 3 patients this result was attained after 1 injection, in 2 after 3 injections. One patient needed 5 injections. The average duration of intubation was 19 days (7-36). Three months (1/2-7 1/2) after the onset of therapy all patients were free of symptoms. No serious complications were observed. No patient needed a tracheotomy. The average follow-up period was 3.3 years (1 1/2-5 1/2). The authors feel that not only the effect of intralesional corticosteroids, but also local gentle pressure by the tube is of therapeutic importance. The above-mentioned treatment of subglottic hemangioma in children is now the treatment of choice in our clinic.
Meeuwis
J
J
Department of ENT, Sophia Children's Hospital, Rotterdam, The Netherlands.
Bos
C E
CE
Hoeve
L J
LJ
van der Voort
E
E
D020680:Bronchoscopes; D005260:Female; D005500:Follow-Up Studies; D005931:Glottis; D006391:Hemangioma / Q000188:drug therapy* / Q000628:therapy; D006801:Humans; D007223:Infant; D015552:Injections, Intralesional; D007442:Intubation, Intratracheal; D007822:Laryngeal Neoplasms / Q000188:drug therapy* / Q000628:therapy; D007828:Laryngoscopy; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage / Q000627:therapeutic use*; D013997:Time Factors
D008775:Methylprednisolone