Surgical removal of subglottic hemangiomas in children
Surgical removal of subglottic hemangiomas in children
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DOI:
10.1097/00005537-199908000-00018
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发表时间:
1999-08-01
期刊:
影响因子:
2.6
通讯作者:
Narcy, P
中科院分区:
文献类型:
--
作者:
Van den Abbeele, T;Triglia, JM;Narcy, P
Objective.. To examine the indications and the results of surgical excision of severe subglottic hemangiomas. Design: Retrospective study and case Series. Setting: Four academic tertiary care centers of pediatric otolaryngology. Patients: Twenty children were included from 1991 to 1997. All presented with severe subglottic hemangiomas resistant to classical:treatments such as corticosteroids and/or CO2 laser. Intervention: Six children were operated on using laryngotracheal reconstruction and prolonged stenting by a reinforced Silastic roll and 14 children were operated on by a single-stage laryngotracheoplasty and postoperative intubation in a pediatric intensive care unit. Results: All patients were successfully decannulated or extubated and have been free from recurrent hemangiomas. Conclusion: The surgery of severe subglottic hemangiomas is a reliable technique in selected patients and should be considered in corticoresistant or corticodependent, circular, or bilateral hemangiomas.