Surgical removal of subglottic hemangiomas in children.
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.
Van Den Abbeele
T
T
Department of Pediatric Otorhinolaryngology, Robert Debré Hospital, Paris, France. thierry.van-den-abbeele@rdb.ap-hop-paris.fr
Triglia
J M
JM
Lescanne
E
E
Roger
G
G
Nicollas
R
R
Ployet
M J
MJ
Garabédian
E N
EN
Narcy
P
P
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