Document Detail

Proposal for staging airway hemangiomas.
MedLine Citation:
PMID:  19786222     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe a method of airway infantile hemangioma staging using standardized assessment of airway narrowing, and hemangioma location and volume, as determined with endoscopy and CT angiography. STUDY DESIGN: Case series with chart review. SETTING: Tertiary pediatric hospital, 2003-2008. SUBJECTS AND METHODS: Subjects included airway hemangioma patients evaluated at a tertiary pediatric hospital. Data collected were age at first symptoms, diagnostic evaluation, percent airway compromise, and estimated hemangioma volume. Data were analyzed with descriptive and Fisher exact statistics. RESULTS: Twelve patients were identified and seven had complete data sets. Mean age at first symptoms was 1.9 months (SD 1.09 months, range 0.5-4 months). Evaluation consisted of nasopharyngoscopy, microlaryngoscopy, CT angiography, and/or MRI. Mean laryngeal airway narrowing was estimated at 63.75 percent (SD 19.0%, range 40%-90%). Total hemangioma volume was less in patients with isolated (focal) endolaryngeal hemangiomas compared with airway hemangiomas associated with extralaryngeal (segmental) hemangiomas. Airway hemangioma stages were stage one (5 of 12; 41.6%), stage two (6 of 12; 50.0%), and stage three (1 of 12; 8.3%). CONCLUSION: This method of airway hemangioma staging may be applicable to treatment planning and used to measure treatment outcomes.
Jonathan A Perkins; Eunice Y Chen; Fredric A Hoffer; Scott C Manning
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  141     ISSN:  1097-6817     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-29     Completed Date:  2009-12-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  516-521     Citation Subset:  IM    
Division of Pediatric Otolaryngology, Seattle Children's Hospital, Seattle, WA 98105-0371, USA.
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MeSH Terms
Airway Obstruction / etiology
Hemangioma / complications,  congenital,  diagnosis*,  pathology
Infant, Newborn
Laryngeal Neoplasms / complications,  congenital,  diagnosis*,  pathology
Larynx / pathology,  radiography
Magnetic Resonance Imaging
Neoplasm Staging
Tomography, X-Ray Computed

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