title: Management of postcricoid and upper esophageal hemangioma.
abstract: To discuss management of postcricoid and upper esophageal hemangiomas in infants. Four children presenting with progressive feeding and/or respiratory disturbance underwent endoscopy including systematic esophagoscopy revealing the hemangioma of the postcricoid area and extending to the lumen of the upper esophagus. In the three children with severe disturbance, systemic steroids were insufficient and open surgical excision brought the hemangioma under control. No significant stenosis occurred despite prolonged progressive oral feeding up to 1 month after surgery. The fourth child whose disturbance was moderate, was managed by intralesional steroids. Various solutions have been proposed for the treatment, i.e. conservative approach or partial or complete destruction or excision, management of postcricoid hemangioma by intralesional steroids or by open surgical excision. Indications will require greater series.
authors.affiliation: Otolaryngology Department, Hopital E. Herriot, Place d'Arsonval, 69003 Lyon, France.
authors.forename: Mireille
authors.initials: M
authors.lastname: Folia
authors.forename: Nusa
authors.initials: N
authors.lastname: Naiman
authors.forename: Rémi
authors.initials: R
authors.lastname: Dubois
authors.forename: Sonia
authors.initials: S
authors.lastname: Ayari
authors.forename: Patrick
authors.initials: P
authors.lastname: Froehlich
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D002675:Child, Preschool; D003413:Cricoid Cartilage; D004938:Esophageal Neoplasms / Q000628:therapy*; D004945:Esophagoscopy; D005260:Female; D006391:Hemangioma / Q000628:therapy*; D006801:Humans; D007223:Infant; D015552:Injections, Intralesional; D007822:Laryngeal Neoplasms / Q000628:therapy*; D007828:Laryngoscopy; D008297:Male
chemical_list: D000305:Adrenal Cortex Hormones