Jin Mang, Wang Cheng-Yu, Da Yun-Xiang, Zhu Wei, Jiang Hui
Department of Otolaryngology, Jinshan Hospital, Fudan University, Shanghai 201508, China.
World J Clin Cases. 2020 Mar 6;8(5):932-938. doi: 10.12998/wjcc.v8.i5.932.
Generally, hemangiomas do not require surgical intervention; however, cases of large hemangiomas, potentially involving the throat and trachea, necessitate surgical therapy. Here, we present a case of hypopharyngeal hemangioma in an adult that was successfully treated with neodymium-doped yttrium aluminum garnet (Nd-YAG) laser.
Laryngoscopic examination of a 61-year-old man demonstrated the presence of a large, submucosal vascular lesion that extended into the epiglottis, left arytenoid cartilage, lateral to the aryepiglottic fold, and pyriform sinus. The lesion was resected and photocoagulated with limited hemorrhage using Nd: YAG laser. The hypopharyngeal hemangioma was completely excised. The patient showed no recurrence of hypopharyngeal hemangioma during the 1.5-year follow-up period.
Laser therapy is one of the effective tools for treating hemangiomas with rapid, uncontrolled growth or in functional areas, with few side effects and complications. The present case of a male patient with a large hypopharyngeal hemangioma, treated with YAG laser, demonstrates the efficacy of laser photocoagulation in treating cases of hemangiomas, without the risk of bleeding or airway obstruction. The favorable postoperative outcomes demonstrated by our patient with Nd: YAG laser therapy indicate its consideration in the therapy of similar cases.
一般来说，血管瘤无需手术干预；然而，对于大型血管瘤病例，可能累及咽喉和气管，则需要进行手术治疗。在此，我们报告一例成人下咽血管瘤，采用掺钕钇铝石榴石（Nd-YAG）激光成功治疗。
对一名61岁男性进行喉镜检查时，发现一个大型黏膜下血管病变，延伸至会厌、左杓状软骨、杓会厌襞外侧及梨状窝。使用Nd:YAG激光对病变进行切除并光凝，术中出血有限。下咽血管瘤被完全切除。在1.5年的随访期内，患者下咽血管瘤未复发。
激光治疗是治疗生长迅速、难以控制或位于功能区域的血管瘤的有效方法之一，副作用和并发症较少。本例男性患者患有大型下咽血管瘤，采用YAG激光治疗，证明了激光光凝治疗血管瘤病例的有效性且无出血或气道梗阻风险。我们的患者采用Nd:YAG激光治疗后取得的良好术后效果表明，在治疗类似病例时应考虑采用该方法。
