Abstract
We experienced nine female cases of infantile subglottic hemangioma during the period from 1984 to 1992. Characteristic clinical symptoms, surgical repair and postoperative courses are presented. Supraclavicular, xyphoid, as well as stridor, were the presenting symptoms in all cases. In addition, six cases had a barking cough. These symptoms developed one to two months postnatally, none having been present at birth. Five cases were treated with steroids, resulting in a marked improvement in dyspnea. Four patients also had hemangiomas in another anatomical location. Eight of the nine cases underwent surgical repair. Tracheotomy was done and the hemangioma was removed through a laryngofissure under a surgical microscope. We separated the overlying laryngeal mucosa, removed the tumor and then closed the epithelium with fibrin paste. Seven of these eight cases were successfully decannulated 20 days to 6 months later. Outcomes were good. The surgical technique employed produces no scarring, thereby avoiding laryngeal stenosis. One of the nine cases underwent tracheotomy and the hemangioma was vaporized with an Nd-YAG laser under a laryngeal microscope.
