title: Surgical removal of subglottic hemangiomas in children.
abstract: OBJECTIVE
  To examine the indications and the results of surgical excision of severe subglottic hemangiomas.
  
  
  METHODS
  Retrospective study and case series.
  
  
  METHODS
  Four academic tertiary care centers of pediatric otolaryngology.
  
  
  METHODS
  Twenty children were included from 1991 to 1997. All presented with severe subglottic hemangiomas resistant to classical treatments such as corticosteroids and/or CO2 laser.
  
  
  METHODS
  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 postoperative intubation in a pediatric intensive care unit.
  
  
  RESULTS
  All patients were successfully decannulated or extubated and have been free from recurrent hemangiomas.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Pediatric Otorhinolaryngology, Robert Debré Hospital, Paris, France. thierry.van-den-abbeele@rdb.ap-hop-paris.fr
authors.forename: T
authors.initials: T
authors.lastname: Van Den Abbeele
authors.forename: J M
authors.initials: JM
authors.lastname: Triglia
authors.forename: E
authors.initials: E
authors.lastname: Lescanne
authors.forename: G
authors.initials: G
authors.lastname: Roger
authors.forename: R
authors.initials: R
authors.lastname: Nicollas
authors.forename: M J
authors.initials: MJ
authors.lastname: Ployet
authors.forename: E N
authors.initials: EN
authors.lastname: Garabédian
authors.forename: P
authors.initials: P
authors.lastname: Narcy
mesh_terms: D002675:Child, Preschool; D005260:Female; D006391:Hemangioma / Q000601:surgery*; D006801:Humans; D007223:Infant; D007822:Laryngeal Neoplasms / Q000601:surgery*; D008297:Male; D009367:Neoplasm Staging; D012189:Retrospective Studies; D014139:Tracheostomy / Q000379:methods; D016896:Treatment Outcome