Capelier Y, François M, Polonovski J M, Contencin P, Narcy P
Service ORL, Hôpital Robert-Debré, Faculté Xavier-Bichat, Paris.
Ann Otolaryngol Chir Cervicofac. 1989;106(3):187-92.
The authors report 29 cases of sub-glottic hemangioma in infants. Symptomatology was dominated by laryngeal dyspnea and the diagnosis was made on direct laryngoscopy. The symptomatology and endoscopic appearance enabled two groups to be distinguished: non obstructive hemangiomas (11 infants) and obstructive hemangiomas (18 infants). For non obstructive hemangiomas, the authors recommend close surveillance in combination with short term steroid therapy was prescribed from the start. In the event of failure of steroid therapy (8 infants) naso-tracheal intubation and selective embolization was carried out and gave the best results. In 4 infants failure of the above treatments led to tracheostomy.
