Desuter Gauthier R R, El Makhloufi Kamal, François Geneviève J, Godding Veronique M, Saint-Martin Christine, Buts Jean-Paul, Hamoir M F A
ENT-Head & Neck Surgery Department, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium.
Dysphagia. 2004 Winter;19(1):48-51. doi: 10.1007/s00455-003-0028-4.
Feeding and swallowing disorders in children remain a major challenge owing to a wide differential diagnosis. Hemangioma of the upper aerodigestive tract represents one of the numerous non-neoplastic causes of dysphagia. We report two cases of postcricoid hemangioma causing inhalation and recurrent respiratory infections, treated successfully with systemic corticotherapy alone. To our knowledge, these are the second and third cases described in the literature. After a short review of the literature, the diagnostic procedures are discussed and a management strategy is proposed for this clinical entity, by far underestimated.
由于鉴别诊断范围广泛,儿童喂养和吞咽障碍仍然是一项重大挑战。上呼吸道消化道血管瘤是吞咽困难众多非肿瘤性病因之一。我们报告两例环状软骨后血管瘤导致吸入及反复呼吸道感染的病例,仅通过全身皮质激素治疗即成功治愈。据我们所知,这是文献中描述的第二例和第三例。在对文献进行简短回顾后,讨论了诊断程序,并针对这一目前被严重低估的临床实体提出了管理策略。