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Otolaryngol Head Neck Surg. 2009 Aug;141(2):207-212. doi: 10.1016/j.otohns.2009.04.013.

Emerging concepts in airway infantile hemangioma assessment and management.

Author information

  • 1Division of Pediatric Otolaryngology and Department of Otolaryngology-Head and Neck Surgery, Seattle Children's Hospital, Seattle, WA 98105-0371, USA. jonathan.perkins@seattlechildrens.org

Abstract

OBJECTIVE:

The purpose of this study was to evaluate changes in airway infantile hemangioma treatment.

STUDY DESIGN:

Retrospective.

SUBJECTS:

Airway hemangioma patients, tertiary pediatric hospital.

METHODS:

Data collected included age at diagnosis, evaluation methods, hospitalizations, airway size, and interventions. Patients were divided into group A (1981-1993) and group B (1994-2005) and were analyzed using descriptive statistics, the Fisher exact test, and the Student t test.

RESULTS:

Thirty-two subjects were identified. Nasopharyngoscopy was used more in group B (11/16 [69%]) than group A (4/16 [25%], P=0.032). CT angiography (3/16 [19%]) and laryngeal distractors (11/16 [69%]) were only used in group B; these techniques showed airway hemangiomas to be "transglottic," not just "subglottic." Intralesional steroids alone (3/16 [19%]) and primary hemangioma excision (2/16 [13%]) were new treatments used in group B. Frequent direct laryngoscopies (>six) correlated with tracheotomy (5/32 [16%], P=0.015). Presenting age (<2 months) impacted treatment more than airway hemangioma size.

CONCLUSIONS:

New methods of airway infantile hemangioma assessment changed our concept of airway hemangiomas and their primary treatment.

PMID:
19643253
[PubMed - indexed for MEDLINE]
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