抄録
Infantile hemangioma usually resolves spontaneously, making observation the therapy of first choice. Infantile hemangioma in the airway may, however, require immediate intervention. Medical and surgical treatment over the year has included systemic and local administration of steroids, chemotherapeutic agents (vincristine, interferon-α, etc), endoscopic laser excision, open surgical resection, temporary tracheotomy and, most recently, propranolol management.
A five-month boy with stridor and retractive breathing since the age of 38 days was treated with oral predonisolone, which initially relieved symptoms. Symptoms recurred as predonisolone administration was being tapered off. Intralesional triamcinolone injection was conducted under laryngoscope and oral propranolol administered. Airway symptoms disappeared 10 days post operatively.
Intralesional triamcinolone injection and oral propranorol administration were very effective in this case, with no side effects observed. Oral propranolol administration is thus expected to become the first choice in treating infantile hemangioma due to its minimal side effect.
