Rajab Rahaf, Sindi Abdullah, Ghanem Ahmad T, Bukhari Afnan F, Zawawi Faisal
Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Pathology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
SAGE Open Med Case Rep. 2023 Jan 24;11:2050313X221146872. doi: 10.1177/2050313X221146872. eCollection 2023.
Laryngeal hemangiomas are rare vascular tumors that mostly present in children. The objective of this publication is to shed the light over this rare diagnosis. We report a case of adult onset of laryngeal hemangioma arising from the junction of the vocal fold and vocal process. The patient presented with a history of hoarseness of voice. An in-office laryngoscopy was performed that revealed a pink lobulated mass arising from the left hemilarynx. Intraoperatively, suspension microlaryngoscopy was performed; the lesion was identified and successfully resected using cold dissection technique. Histopathological analysis was consistent with laryngeal hemangioma. The patient is now a year post resection and remains asymptomatic without signs of recurrence. To conclude, adult onset of laryngeal hemangioma is very rare. When present, resection with either or both cold steel (microscissors) and laser have shown good outcome. Patients should be monitored afterwards for possible recurrence.
喉血管瘤是一种罕见的血管性肿瘤，多见于儿童。本出版物的目的是阐明这种罕见的诊断。我们报告一例成年期发生的喉血管瘤，起源于声带与声突的交界处。患者有声音嘶哑病史。门诊喉镜检查发现左侧半喉有一个粉红色分叶状肿物。术中进行了悬吊式显微喉镜检查；确定病变后，使用冷剥离技术成功切除。组织病理学分析与喉血管瘤相符。患者现已术后一年，仍无症状，无复发迹象。总之，成年期发生喉血管瘤非常罕见。一旦出现，使用冷钢（微型剪刀）或激光或两者联合切除已显示出良好效果。术后应监测患者是否可能复发。
