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Laryngeal haemangioma

Giselle Cuestas, Verónica Rodríguez, Flavia Doormann, Patricio Bellia Munzón, Gastón Bellia Munzón
Laryngeal tumors are uncommon in children, accounting only for 2% of the laryngeal anomalies. Ninety-eight percent are benign; the most frequent ones are recurrent respiratory papillomatosis and haemangioma. Granular cell tumor, also called Abrikossoff tumor, is an unusual benign neoplasm, especially in the larynx. Clinical manifestations depend on the size and location of the tumor. Dysphonia is the main presenting symptom. The diagnosis is confirmed by the biopsy. The treatment of choice is surgery. We present a 9-year-old girl with dysphonia and exertion dyspnea due to a granular cell tumor of the larynx, and we emphasize the importance of considering the endoscopic evaluation of the airway in every child with progressive or persistent dysphonia in order to determine the etiology...
February 1, 2018: Archivos Argentinos de Pediatría
R Bannon, R Gohil, J Manickavasagam
BACKGROUND: Adult laryngeal haemangiomas are rare vascular tumours that have been managed by a variety of surgical techniques. METHODS: This paper describes a case of near-fatal acute airway obstruction secondary to such a lesion, followed by our approach to surgical resection using a laparoscopic bipolar tissue-sealing device. RESULTS: This technique resulted in successful excision of the lesion, with no evidence of recurrence at one year of follow up...
September 2017: Journal of Laryngology and Otology
Samit Parua, Dipika Choudhury, Mridu Paban Nath
The cervical epidural anaesthesia is a safe anaesthetic technique with minimal morbidity and early postoperative recovery. Cervical epidural anaesthesia can be effectively used for neck, upper arm and chest surgeries. The technique avoids the adverse effects of general anaesthetics and airway instrumentation, especially in patients with cardio respiratory disorders. We preferred CEA for giant haemangioma neck excision in an adult female patient, having an associated laryngeal haemangioma, 10ml of 0.5% ropivacaine with 50μg Fentanyl (total 11 ml) was administered into the cervical epidural space through a 20G epidural catheter introduced via a 18G Tuohy needle at the level of C7-T1 space...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
A M González, J Manso, L de la Rubia, A M Canga
No abstract text is available yet for this article.
December 2016: Revista Española de Anestesiología y Reanimación
A Grammatica, A Bolzoni Villaret, M Ravanelli, P Nicolai
Solitary fibrous tumour (SFT) is a rare, benign, mesenchymal neoplasm that usually arises in the pleura, but rarely involves other sites outside the serosal space (mediastinum, lung, liver, thyroid gland); larynx involvement is very rare with only sporadic cases reported in the literature. We report a case of SFT in a 41-year-old woman with supraglottic laryngeal invovlement; symptoms included dysphonia and mild odynophagia lasting 2 years, and fibre-optic laryngeal evaluation showed a sub-mucosal mass involving the left supraglottis and medial wall of the pyriform sinus...
June 2016: Acta Otorhinolaryngologica Italica
W-H Wang, K-Y Tsai
BACKGROUND: Haemangioma of the adult larynx is an uncommon, benign lesion. The optimal surgical method of treating these lesions is controversial because only very limited case series are available. This paper reports the results of transoral robotic resection of a supraglottic haemangioma in an adult and reviews the literature. METHODS AND RESULTS: A 58-year-old woman presented having experienced a lump-in-the-throat sensation for 1 year. Investigations on laryngoscopy revealed a lobulated, dark red mass in the region of the supraglottis...
June 2015: Journal of Laryngology and Otology
L Plisson, V Patron, Azoulay B Luna, E Babin, M Hitier
Paraganglioma are uncommon neuroendocrine tumours arising from extra-adrenal chromaffin cells of the autonomic nervous system. In the head and neck region, these neoplasms most commonly arise from the carotid body, the vagus nerve, and the jugulotympanic area. We present the case of a 69-year-old woman who suffered from dyspnoea and dysphonia for six months. A biopsy diagnosed a laryngeal haemangioma and a resection of the tumour was performed using supraglottic pharyngolaryngectomy. Definitive histopathological examination revealed a laryngeal paraganglioma...
2013: Revue de Laryngologie—Otologie—Rhinologie
Guo-jun Liu, Qi-jun Fan, Xue-jun Liu, Li-yan Ni, Jin-jian Gao, Sai-yu Huang, Bo-bei Chen, Jia-yun Huang
No abstract text is available yet for this article.
October 2013: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Telma Francisco, Rui Miguel Gonçalves, Cristina Borges, Maria Teresa Neto
A 6-month-old girl with Beckwith-Wiedemann syndrome, multiple haemangiomas (axillary, laryngeal, pulmonary and hepatic) and diaphragmatic eventration was reported. All tumours responded to treatment with propranolol. The surgical correction of diaphragmatic eventration was crucial to a better outcome.
2013: BMJ Case Reports
De-liang Huang, Liang-fa Liu, Yong-yi Yuan, Jia-ling Wang, Hui Zhao, Wen-ming Wu
OBJECTIVE: To investigate the diagnosis and treatment of the primary tumors at the cervicothoracic junction. METHODS: We analyzed 17 cases of the tumors diagnosed by surgery and histopathology in Chinese PLA General Hospital from Mar. 2005 to Dec.2009. The clinical manifestions, the surgical approaches and surgical complications were analyzed retrospectively. RESULTS: The main partial of the tumors located in left side in 9 patients and in right side in 8 patients...
November 2012: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Michele Loizzi, Angela De Palma, Vincenzo Pagliarulo, Nicola Quaranta
Subglottic haemangioma (SGH) is a rare, benign tumour in children, which is potentially life-threatening because of airway obstruction. We report the case of a full-term 2-month-old infant girl admitted to our institution with stridor, dyspnoea and oxygen desaturation caused by a SGH and treated with propranolol. Neck-chest computed tomography (CT) revealed a contrast-enhancing, 10-mm, subglottic elliptic lesion, referable to SGH. Pre-treatment fibrobronchoscopy showed a sub-occlusive SGH closing more than 75% of the laryngotracheal airway...
January 2013: European Journal of Cardio-thoracic Surgery
Shabbir Akhtar, Adeel Ahmed Shamim, Shehzad Ghaffar, Muhammad Sheryar Ahmed, Mubasher Ikram
Laryngeal haemangioma is commonly seen in children. Adult laryngeal haemangiomas are rare and usually involve the supraglottic region. Most common symptom includes dysphagia, dysphonia and shortness of breath. Detailed history, fiberoptic laryngoscopy and computerized scanning may suggest benign nature of the lesion but diagnosis is only confirmed by a biopsy. In comparison to infantile haemangiomas which usually respond to propronolol, the treatment of adult laryngeal haemangiomas is always surgical removal...
February 2012: JPMA. the Journal of the Pakistan Medical Association
Joanne Spinks
A case of a 4-month-old girl with a subglottic haemangioma successfully treated with propranolol is reported.
2010: BMJ Case Reports
A D Friedman, J A Burns, M J Lutch, S M Zeitels
BACKGROUND: The differential diagnosis of endolaryngeal mesenchymal neoplasms includes a wide spectrum of benign and malignant pathologies, which have been rarely photo-documented and assessed as a group. METHODS: Non-epithelial neoplasms of the endolarynx seen at our centre from 2002 to 2011 (n = 38; 36 treated at our institution) were retrospectively reviewed, with attention to clinical presentation, radiographic imaging, operative management, histology, and pre- and post-operative endoscopy...
July 2012: Journal of Laryngology and Otology
Leo Rossler, T Rothoeft, N Teig, C Koerner-Rettberg, T Deitmer, C H L Rieger, E Hamelmann
BACKGROUND: Subglottic haemangioma causes progressive and life-threatening stridor, typically manifesting at age 2-3 months. Standard diagnosis is by laryngoscopy. Larynx sonography is rarely used but allows assessment of the presence and extension of a mass that impinges on the subglottic airway. The additional use of colour Doppler enables demonstration of the vascular nature of such masses. OBJECTIVE: To compare US and endoscopic findings in infants with subglottic haemangioma and to evaluate accuracy of US and colour Doppler imaging in this diagnosis...
November 2011: Pediatric Radiology
N Leboulanger, A Cox, E-N Garabedian, F Denoyelle
Infantile haemangioma (IH) is the most common tumour during early childhood. Although these benign lesions resolve spontaneously, up until recently laryngotracheal sites of IH required invasive management. The dramatic efficacy of β-blockers on IH has radically changed the prognosis. Surgery is now no longer indicated as first-line therapy, but should only be performed for difficult, refractory cases, or in the presence of absolute contraindications to β-blockers. Long-term steroid therapy is also no longer indicated...
November 2011: European Annals of Otorhinolaryngology, Head and Neck Diseases
Stamatios Peridis, Gemma Pilgrim, Ioannis Athanasopoulos, Konstantinos Parpounas
OBJECTIVE: To study the effectiveness of propranolol in infantile airway haemangiomas and compare the effectiveness of propranolol vs. different therapies. METHODS: A literature search of Ovid, Embase, the Cochrane database, Google™ Scholar, and Medline using PubMed as the search engine was performed to identify studies that analysed the effect of propranolol treatment in children with airway haemangiomas. Random-effect meta-analytical techniques were conducted for the outcome measures...
April 2011: International Journal of Pediatric Otorhinolaryngology
E Guye, M Chollet-Rivier, D Schröder, K Sandu, J Hohlfeld, A de Buys Roessingh
No abstract text is available yet for this article.
July 2011: Archives of Disease in Childhood. Fetal and Neonatal Edition
I Corsini, M Gallucci, E Di Palmo, L Bertelli, M Fabi, S Colonna, D Tassinari, F Bernardi
Infantile subglottic hemangioma is a pediatric tumor of endothelial cells characterized by an initial phase of rapid proliferation (around 6 months), followed by slow involution, often leading to complete regression following the first year of life. It is most frequently found in females and it usually it occurs also in the skin. From its position it can cause a progressive airway obstruction, so early diagnosis and treatment are very important. Many treatments have been described in the literature, including systemic steroids, intralesional steroid injection, carbon dioxide laser therapy, submucous resection, interferon alfa-2 and also tracheostomy as last approach...
April 2010: Minerva Pediatrica
N Mistry, K Tzifa
OBJECTIVE: To report our experience of using propranolol to treat an infantile airway haemangioma. METHODS: A five-week-old girl presented with upper airway obstruction. Having started systemic steroids, concurrent propranolol therapy was commenced. Propranolol was given with close monitoring of the blood pressure, pulse and capillary glucose level. The dose of propranolol was gradually increased to 2 mg/kg total daily dose, with simultaneous reduction and withdrawal of steroids...
December 2010: Journal of Laryngology and Otology
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