Document Detail

Infantile subglottic hemangiomas. An update.
MedLine Citation:
PMID:  3527018     Owner:  NLM     Status:  MEDLINE    
Between 1913 and 1985, 323 cases of infantile subglottic hemangiomas have been reported in the English language literature. The purpose of this study is to review these cases, to report The Johns Hopkins Hospital experience with ten additional cases, and to compare the various methods of treatment in an attempt to identify the regimens associated with the best outcome. The majority of the patients presented before the age of 6 months with respiratory distress, most commonly inspiratory stridor. There was a 2:1 female to male preponderance. The diagnosis was established by endoscopy in the majority and confirmed by biopsy in one third, without serious bleeding complications. A plethora of treatment methods have been described, including the following: corticosteroids, tracheotomy, radiation therapy, radioactive implant therapy, surgical excision, cryotherapy, and carbon dioxide laser. These methods were reviewed and their results compared to our own. We conclude that several methods are effective, each having its advantages and disadvantages. We believe that immediate tracheotomy should be performed in cases with severe airway obstruction. Smaller lesions may be vaporized with the carbon dioxide laser without tracheotomy if postoperative care is provided in a pediatric intensive care unit. Corticosteroids may be used alone or in combination with other modalities. External radiation therapy and injection of sclerosing agents are not advised.
A H Shikhani; M M Jones; B R Marsh; M J Holliday
Related Documents :
15965698 - Distribution of cerebral cortical lesions in diffuse neurofibrillary tangles with calci...
6746198 - Reflections on dora: the case of hysteria.
21490848 - Primary hepatosplenic large b-cell lymphoma: a rare aggressive tumor.
16353708 - Necrotizing fasciitis of the external genitalia following traditional circumcision.
1381088 - A case of cardiac foreign bodies associated with four types of tachycardias.
15381808 - Plasmodium falciparum malaria in splenectomized patients: two case reports in french gu...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  95     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:    1986 Jul-Aug
Date Detail:
Created Date:  1986-09-25     Completed Date:  1986-09-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  336-47     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Hemangioma / diagnosis,  physiopathology,  therapy*
Infant, Newborn
Laryngeal Neoplasms / diagnosis,  physiopathology,  therapy*
Laser Therapy
Sex Factors
Steroids / therapeutic use
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  How to keep up with the medical literature: III. Expanding the number of journals you read regularly...
Next Document:  Heart transplantation 1985. Experience of the Pitié