title: Management of subglottic hemangiomas with carbon dioxide laser: Our 25-year experience and comparison with the literature.
abstract: BACKGROUND
  Subglottic hemangiomas (SGH) are rare tumors of infancy arising between the perichondrium and the mucosa of the subglottic space. It is a potential life-threatening condition. Many therapeutic options exist for this disease, including lasers.
  
  
  OBJECTIVE
  To report our 25-year experience of laser treatment of SGH.
  
  
  METHODS
  Retrospective review of charts.
  
  
  METHODS
  Clarós' Otolaryngology and Head and Neck Surgery Clinic in Barcelona, Spain.
  
  
  RESULTS
  We recruited a total of 97 patients of whom 89 were treated with CO2 laser. Mean age at first contact was 2.1 months (range: 1.5-6.5). Sex ratio was 10 girls for 1 boy. Eighty percent of patients presented with stridor and 30.3% with recurrent acute laryngitis. Forty percent had associated cutaneous hemangiomas. They received an average of 1.85 laser session (range: 1-4) and 78.5% were healed after a maximum of 2. We had a 100% success rate and 1.1% complication rate (subglottic stenosis).
  
  
  CONCLUSIONS
  CO2 laser is a very effective and recommendable tool against subglottic hemangiomas. To achieve good results traditional laser safety measures should be respected besides some useful surgical tips.
authors.affiliation: Clarós Clinic, C/ Los Vergos 31, 08017 Barcelona, Spain. Electronic address: andresclaros@hotmail.com.
authors.forename: Andrés
authors.initials: A
authors.lastname: Clarós
authors.affiliation: Clarós Clinic, C/ Los Vergos 31, 08017 Barcelona, Spain; Faculty of Medicine and Biomedical Sciences of Yaoundé, Cameroon; Scholarship of the Clarós Foundation in Clarós Otolaryngology Clinic, C/O Dietagoum Madjouka Stéphanie, P.O. Box 8460, Nlongkak, Yaoundé, Cameroon.(1). Electronic address: valentin.fokouo@gmail.com.
authors.forename: Jean Valentin F
authors.initials: JV
authors.lastname: Fokouo
authors.affiliation: Clarós Clinic, C/ Los Vergos 31, 08017 Barcelona, Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: Roqueta
authors.affiliation: Clarós Clinic, C/ Los Vergos 31, 08017 Barcelona, Spain.
authors.forename: Pedro
authors.initials: P
authors.lastname: Clarós
mesh_terms: D005260:Female; D005931:Glottis; D006391:Hemangioma / Q000601:surgery*; D006801:Humans; D007223:Infant; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007827:Laryngitis / Q000209:etiology; D007829:Laryngostenosis / Q000209:etiology; D054020:Lasers, Gas / Q000009:adverse effects / Q000627:therapeutic use*; D008297:Male; D012189:Retrospective Studies; D013030:Spain
keywords: Carbon dioxide laser; Propranolol; Subglottic hemangiomas