Kurzyna Agnieszka, Hassmann-Poznańska Elzbieta, Wójtowicz Jerzy, Bossowski Artur
Klinika Otolaryngologii Dzieciecej Uniwersytetu Medycznego w Białymstoku.
Otolaryngol Pol. 2010 Nov-Dec;64(6):388-91. doi: 10.1016/S0030-6657(10)70593-X.
Subglottic hemangiomas are extremely dangerous due to its location and rapid growth during the proliferative phase. Many different treatments are described but these methods are still not satisfactory. Recently propranolol has been used as a new option in hemangioma therapy. We describe a case of 6-week infant with subglottic hemangioma discovered direct laryngoscopy, presented with dyspnoea and inspiratory stridor. After oral propranolol administration all baseline airway symptoms had resolved and endoscopic examination demonstrated significant regression of the hemangioma. We suggest that the propranolol should be used as a first-line treatment in subglottic hemangiomas in children.
声门下血管瘤因其位置及在增殖期的快速生长而极其危险。虽然描述了许多不同的治疗方法,但这些方法仍不尽人意。最近,普萘洛尔已被用作血管瘤治疗的一种新选择。我们描述了一例6周大的婴儿,通过直接喉镜检查发现有声门下血管瘤,表现为呼吸困难和吸气性喘鸣。口服普萘洛尔后,所有基线气道症状均得到缓解,内镜检查显示血管瘤明显消退。我们建议普萘洛尔应作为儿童声门下血管瘤的一线治疗药物。