Wiatrak B J, Reilly J S, Seid A B, Pransky S M, Castillo J V
Children's Hospital of Alabama, Birmingham, USA.
Int J Pediatr Otorhinolaryngol. 1996 Jan;34(1-2):191-206. doi: 10.1016/0165-5876(95)01257-5.
Subglottic hemangioma is an unusual entity which may involute spontaneously without aggressive surgical intervention; although tracheotomy is sometimes necessary. The actual time course for involution is not clear by reviewing the literature [1,14]. Numerous treatment modalities are described for the treatment of this condition, including tracheotomy, CO2 laser ablation and intralesional steroid injection with or without endotracheal intubation. Surgical resection of subglottic hemangioma is an option which is described in the literature and may be utilized in certain selected cases. We present seven cases of subglottic hemangioma treated at three institutions which were resected via a crico-tracheotomy approach. Postoperative follow-up for these patients range from 6 months to 4.5 years. Although conservative measures are still advocated as the treatment of choice for subglottic hemangioma, open surgical resection may be indicated in selected cases resulting in a satisfactory outcome.
声门下血管瘤是一种罕见的疾病，可能在不进行积极手术干预的情况下自行消退；尽管有时需要气管切开术。通过查阅文献，目前尚不清楚其实际消退时间进程[1,14]。文献中描述了多种治疗这种疾病的方法，包括气管切开术、二氧化碳激光消融以及病灶内注射类固醇（无论是否进行气管插管）。声门下血管瘤的手术切除是文献中描述的一种选择，可用于某些特定病例。我们报告了在三家机构治疗的7例声门下血管瘤病例，这些病例通过环状气管切开术进行了切除。这些患者的术后随访时间为6个月至4.5年。尽管仍主张将保守措施作为声门下血管瘤的首选治疗方法，但在某些特定病例中，开放性手术切除可能会取得满意的效果。
