Adult laryngeal hemangioma CO2 laser excision. A single institution 3-year experience (Vittorio Veneto 2001-2003).
CONCLUSIONS
Adult supraglottic hemangiomas can be treated successfully with CO2 laser excision with limited morbidity. Extended laryngeal cavernous hemangiomas involving hypopharynx should be approached with staged CO2 laser surgical procedures.


OBJECTIVE
Hemangioma of the adult larynx is an uncommon, benign lesion characterized by thin, friable mucosa overlying the vascular stroma. The optimal surgical approach to these lesions is still controversial because only anecdotal case reports or very limited series are available. We report a 3-year, retrospective, single institution study of the results of CO2 laser treatment of supraglottic hemangiomas in adults.


METHODS
Six consecutive cases of adult laryngeal hemangioma were treated by the first author with CO2 laser microsurgery alone.


RESULTS
In five of six cases, no recurrences have been diagnosed (median follow-up period: 29 months). One case presented limited persistence of disease in the retro-cricoid and arytenoids at 20-month follow-up control.
Lucioni
Marco
M
Department of Otolaryngology, Vittorio Veneto Hospital, Vittorio Veneto, Italy. maluccio@aliceposta.it
Marioni
Gino
G
Della Libera
Duilio
D
Rizzotto
Giuseppe
G
D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D007828:Laryngoscopy; D007830:Larynx / Q000473:pathology / Q000601:surgery; D053685:Laser Therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D016896:Treatment Outcome