Abstract
Stridor results from partially obstructed airways. A rare cause of stridor in infants is congenital subglottic hemangioma. It is characterized by dyspnea, recurrent obstructive bronchitis, laryngeal stridor and pneumonia unresponsive to treatment. Despite a benign condition, it may grow further and cause serious respiratory distress and death. Direct laryngoscopy establishes the diagnosis. Computerized tomography and magnetic resonance imaging may be used in the differential diagnosis of the lesion. Local or systemic steroids, laser ablation or surgery are the choices of treatment. An infant presenting with respiratory distress, unresponsive to therapy, diagnosed as congenital subglottic hemangioma is presented in this article
Keywords: Stridor, dyspnea, subglottic hemangioma
References
- Goodman TR, McHugh K. The role of radiology in the evaluation of stridor. Arch Dis Child 1999; 81: 456-459.
- Naiman AN, Ayari S, Froehlich P. Controlled risk of stenosis after surgical excision of laryngeal hemangioma. Arch Otolarygol Head Neck Surg 2003; 129: 1291-1295.
- Chatrath P, Black M, Jani P, Albert DM, Bailey CM. A review of the current management of infantile subglottic haemangioma, including a comparison of CO2 laser therapy versus tracheostomy. Int J Pediatr Otorhinolaryngol 2002; 64: 143-157.
- Sherrington CA, Sim DK, Freezer NJ, Robertson CF. Subglottic haemangioma. Arch Dis Child 1997; 76: 458-459.
- Koplewitz BZ, Springer C, Slasky BS, Avital A, Uwyyed K, Piccard E,
- Bar-Ziv J. CT of Hemangiomas of the Upper Airways in Children
- Bajaj Y, Hartley BE, Wyatt ME, Albert DM, Bailey CM. Subglottic
- haemangioma in children: experience with open surgical excision. J Laryngol Otol 2006;120:1033-1037.
Copyright and license
Copyright © 2008 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.
