Onder Serap Sahin, Gergin Ozgul, Karabulut Burak
Umraniye Research and Education Hospital. Department of Otolaryngology, Istanbul, Turkey.
J Craniofac Surg. 2019 Jul;30(5):e402-e404. doi: 10.1097/SCS.0000000000005340.
Subglottic and mediastinal hemangioma are rare benign vascular tumors of childhood. They cause potentially life threatening condition which requires intervention. Several therapeutic options have been described in the literature with varying degrees of success and complications. We report a case of a stridulous 2-month old female infant with mediastinal and subglottic hemangioma. The child was treated with propranolol without the need for tracheostomy or any other surgical intervention, and with no reported side effects. Propranolol is an effective, non-invasive treatment for life threatening infantile hemangiomas compressing the airway, should be used as a firstline treatment for subglottic hemangiomas when intervention is required.
声门下及纵隔血管瘤是儿童罕见的良性血管肿瘤。它们可导致潜在的危及生命的状况,需要进行干预。文献中描述了几种治疗选择,其成功率和并发症程度各不相同。我们报告一例2个月大的喘鸣女婴,患有纵隔和声门下血管瘤。该患儿接受普萘洛尔治疗,无需气管切开术或任何其他手术干预,且未报告有副作用。普萘洛尔是治疗压迫气道的危及生命的婴儿血管瘤的一种有效、非侵入性的治疗方法,在需要干预时,应作为声门下血管瘤的一线治疗方法。