Clarós Andrés, Fokouo Jean Valentin F, Roqueta Carmen, Clarós Pedro
Clarós Clinic, C/ Los Vergos 31, 08017 Barcelona, Spain.
Clarós Clinic, C/ Los Vergos 31, 08017 Barcelona, Spain; Faculty of Medicine and Biomedical Sciences of Yaoundé, Cameroon; Scholarship of the Clarós Foundation in Clarós Otolaryngology Clinic, C/O Dietagoum Madjouka Stéphanie, P.O. Box 8460, Nlongkak, Yaoundé, Cameroon.(1).
Int J Pediatr Otorhinolaryngol. 2015 Dec;79(12):2003-7. doi: 10.1016/j.ijporl.2015.05.007. Epub 2015 Aug 21.
Subglottic hemangiomas (SGH) are rare tumors of infancy arising between the perichondrium and the mucosa of the subglottic space. It is a potential life-threatening condition. Many therapeutic options exist for this disease, including lasers.
To report our 25-year experience of laser treatment of SGH.
Retrospective review of charts.
Clarós' Otolaryngology and Head and Neck Surgery Clinic in Barcelona, Spain.
We recruited a total of 97 patients of whom 89 were treated with CO2 laser. Mean age at first contact was 2.1 months (range: 1.5-6.5). Sex ratio was 10 girls for 1 boy. Eighty percent of patients presented with stridor and 30.3% with recurrent acute laryngitis. Forty percent had associated cutaneous hemangiomas. They received an average of 1.85 laser session (range: 1-4) and 78.5% were healed after a maximum of 2. We had a 100% success rate and 1.1% complication rate (subglottic stenosis).
CO2 laser is a very effective and recommendable tool against subglottic hemangiomas. To achieve good results traditional laser safety measures should be respected besides some useful surgical tips.
声门下血管瘤（SGH）是一种罕见的婴儿期肿瘤，发生于声门下间隙的软骨膜和黏膜之间。这是一种可能危及生命的疾病。针对这种疾病有多种治疗选择，包括激光治疗。
报告我们25年来激光治疗声门下血管瘤的经验。
对病历进行回顾性研究。
西班牙巴塞罗那的克拉罗斯耳鼻喉科及头颈外科诊所。
我们共招募了97例患者，其中89例接受了二氧化碳激光治疗。首次就诊时的平均年龄为2.1个月（范围：1.5 - 6.5个月）。男女比例为10名女孩对应1名男孩。80%的患者出现喘鸣，30.3%的患者出现复发性急性喉炎。40%的患者伴有皮肤血管瘤。他们平均接受了1.85次激光治疗（范围：1 - 4次），78.5%的患者在最多2次治疗后痊愈。我们的成功率为100%，并发症发生率为1.1%（声门下狭窄）。
二氧化碳激光是治疗声门下血管瘤非常有效且值得推荐的工具。除了一些有用的手术技巧外，还应遵守传统的激光安全措施以取得良好效果。
