Pediatric postcricoid vascular malformation: a diagnostic and treatment challenge.
Hemangioma of the upper aerodigestive tract is a rarely reported occurrence in the pediatric literature. To date, there have been three published case reports of postcricoid hemangiomas contributing to unexplained dysphagia and respiratory distress. We present three children with a history of swallowing difficulty and stridor who were found to have an occult postcricoid mass. Valsalva maneuvers confirmed the suspicion of a vascular malformation in both patients. Transoral laser therapy (KTP and CO2) was used to ablate the lesions. The patients are symptom-free at 5 months, 5 years, and 2 weeks, respectively. The diagnostic challenge in evaluating these children and the therapeutic choices are described.
Zur
Karen B
KB
Cincinnati Children's Hospital Medical Center, Division of Pediatric Otolaryngology-Head and Neck Surgery, 3333 Burnet Avenue ML 2018, Cincinnati, OH 45229-3039, USA. karen.zur@cchmc.org
Wood
Robert E
RE
Elluru
Ravindhra G
RG
D001999:Bronchoscopy; D002648:Child; D002675:Child, Preschool; D003413:Cricoid Cartilage / Q000601:surgery*; D003680:Deglutition Disorders / Q000209:etiology; D018572:Disease-Free Survival; D005260:Female; D018475:Head-Down Tilt; D006391:Hemangioma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D007223:Infant; D007822:Laryngeal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D007828:Laryngoscopy; D053685:Laser Therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D009364:Neoplasm Recurrence, Local; D012135:Respiratory Sounds / Q000209:etiology; D016896:Treatment Outcome; D014636:Valsalva Maneuver