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Otolaryngol Clin North Am. 2008 Oct;41(5):903-11, viii-ix. doi: 10.1016/j.otc.2008.04.009.

Subglottic hemangioma.

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  • 1Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Nevada School of Medicine, Las Vegas, NV 89102, USA.


Subglottic hemangioma is a rare condition that can be potentially life threatening because of airway obstruction. It is common for subglottic hemangioma to be misdiagnosed as croup initially. Infants with a subglottic hemangioma and cutaneous facial hemangiomas in a "beard" distribution should be evaluated for PHACE syndrome. Endoscopic laser resection is effective for subglottic hemangioma but carries a chance of subglottic stenosis, up to 25%. Open excision of subglottic hemangioma is an excellent option, particularly in patients with bilateral or circumferential subglottic hemangioma. It is a more extensive surgery when compared with endoscopic laser resection. Surgeons who do not have access to a pediatric intensive care unit staffed by experienced pediatric intensivists should not use this procedure.

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