Sakakura Y, Ohi M, Yamada S, Miyoshi Y
Auris Nasus Larynx. 1980;7(2):81-8. doi: 10.1016/s0385-8146(80)80004-6.
Congenital malformation of the larynx are life-threatening anomaly for newborns and infants. Although tumorous lesions in these malformations (especially subglottic hemangioma) are extremely rare, when they do occur some definitive attempts should be made to treat them in infancy. This report concerns a case of subglottic hemangioma with marked stridor and sternal retractions which had begun in the third month of age in a six month-old male. In the excision of the hemangioma a new technique is employed. That is: the excision through the laryngofissure was made under surgical microscope. Assuming that careful removal of the subepithelial hemangioma and closure of the overylaying epithelia would help to maintain the mucosa and thereby avoid excessive scarring, the hemangiomatous tissue was completely removed while preserving the overlaying epithelial layer.
先天性喉畸形对新生儿和婴儿来说是危及生命的异常情况。虽然这些畸形中的肿瘤性病变(尤其是声门下血管瘤)极为罕见,但一旦发生,应在婴儿期进行一些确定性的治疗尝试。本报告涉及一例声门下血管瘤病例,该患儿为6个月大男性,在3个月大时开始出现明显的喘鸣和胸骨退缩。在切除血管瘤时采用了一种新技术。即:在手术显微镜下通过喉裂开术进行切除。假设仔细切除上皮下血管瘤并封闭覆盖的上皮有助于维持黏膜,从而避免过度瘢痕形成,在保留覆盖上皮层的同时将血管瘤组织完全切除。