Subglottic haemangioma: controversies in management.

OBJECTIVE

To discuss treatment modalities for subglottic haemangioma (SGH).

METHODOLOGY

Case report of two children definitively managed by different modalities.

RESULTS

Management by CO2 laser vaporization in one child, and laser followed by interferon 2-alpha in the second child were both successful in controlling the SGH without the need for tracheostomy.

CONCLUSION

The stepped-care approach at John Hunter Children's Hospital, Newcastle, New South Wales, is presented. Both laser surgery and interferon can help control SGH. Careful surveillance and interdisciplinary cooperation are essential to achieve a good outcome.