Shukla Twisha S
Paediatrics, California Institute of Behavioral Neurosciences & Psychology, Fairfield, CAN.
Cureus. 2022 Nov 4;14(11):e31090. doi: 10.7759/cureus.31090. eCollection 2022 Nov.
Laryngeal hemangiomas in adults are uncommon. Laryngeal hemangiomas are more common in children, and if treatment is required, it is treated with propranolol. An eighteen-year-old female with rare glottic hemangioma extending to a supraglottic region presented with shortness of breath and hoarseness of voice. Although complete resection of the hemangioma was impossible due to its proximity to the vocal cord, it was treated with Microlaryngoscopy ablation with a CO2 laser. She has been followed up for over 10 years. The patient has had three recurrences, which have also been described. The cause of recurrence after treatment and the trigger for the increase in the size of the hemangioma is yet to be identified. The patient is now stable after her last Microlaryngoscopy and CO2 ablation. In conclusion, a near complete resection of hemangioma is required to prevent regrowing of hemangioma.
成人喉血管瘤并不常见。喉血管瘤在儿童中更为常见,若需要治疗,则采用普萘洛尔进行治疗。一名18岁女性患有罕见的声门型血管瘤,病变延伸至声门上区域,表现为呼吸急促和声音嘶哑。尽管由于血管瘤靠近声带无法进行完全切除,但通过二氧化碳激光显微喉镜消融术对其进行了治疗。对她进行了长达10多年的随访。该患者出现了三次复发情况,也均有记录。治疗后复发的原因以及血管瘤增大的诱因尚未明确。在最后一次二氧化碳激光显微喉镜消融术后,患者目前病情稳定。总之,需要近乎完全切除血管瘤以防止其复发。