• Jonathan A Perkins, William Duke, Eunice Chen, and Scott Manning.
• Division of Pediatric Otolaryngology and Department of Otolaryngology-Head and Neck Surgery, Seattle Children's Hospital, Seattle, WA 98105-0371, USA. jonathan.perkins@seattlechildrens.org
• Otolaryngol Head Neck Surg. 2009 Aug 1;141(2):207-212.

ObjectiveThe purpose of this study was to evaluate changes in airway infantile hemangioma treatment.Study DesignRetrospective.SubjectsAirway hemangioma patients, tertiary pediatric hospital.MethodsData collected included age at diagnosis, evaluation methods, hospitalizations, airway size, and interventions. Patients were divided into group A (1981-1993) and group B (1994-2005) and were analyzed using descriptive statistics, the Fisher exact test, and the Student t test.ResultsThirty-two subjects were identified. Nasopharyngoscopy was used more in group B (11/16 [69%]) than group A (4/16 [25%], P=0.032). CT angiography (3/16 [19%]) and laryngeal distractors (11/16 [69%]) were only used in group B; these techniques showed airway hemangiomas to be "transglottic," not just "subglottic." Intralesional steroids alone (3/16 [19%]) and primary hemangioma excision (2/16 [13%]) were new treatments used in group B. Frequent direct laryngoscopies (>six) correlated with tracheotomy (5/32 [16%], P=0.015). Presenting age (<2 months) impacted treatment more than airway hemangioma size.ConclusionsNew methods of airway infantile hemangioma assessment changed our concept of airway hemangiomas and their primary treatment.

29 keywords...

hide…