Abstract
Stridor, büyük hava yollarının kısmi tıkanıklığı sonucu ortaya çıkan bir bulgudur. Süt çocuklarında stridorun nadir bir nedeni de konjenital subglottik laringeal hemanjiyomdur. Hastalık, özellikle infant dönemde ortaya çıkan dispne, tekrarlayan obstrüktif bronşit, laringeal stridor ve tedaviye cevap vermeyen pnömoni ile karakterizedir. Benign bir durum olmasına rağmen hızla büyüyerek ciddi solunum sıkıntısına neden olup ölümcül seyredebilmektedir. Direkt laringoskopi ile tanı konulabilen bu lezyonun tanı ve ayrıcı tanısında bilgisayarlı tomografi ve manyetik rezonans görüntüleme yöntemleri kullanılabilmektedir. Lokal ya da sistemik steroid, lazer ile ablasyon ve cerrahi tedavi seçenekleri arasındadır. Burada, solunum sıkıntısı ile başvuran ve tedaviye yanıt vermeyen, takibinde konjenital subglottik hemanjiyom tanısı alan bir infant olgu sunulmaktadır.
Keywords
References
- Goodman TR, McHugh K. The role of radiology in the evaluation of stridor. Arch Dis Child 1999; 81: 456-459.
- Naiman AN, Ayari S, Froehlich P. Controlled risk of stenosis after surgical excision of laryngeal hemangioma. Arch Otolarygol Head Neck Surg 2003; 129: 1291-1295.
- Chatrath P, Black M, Jani P, Albert DM, Bailey CM. A review of the current management of infantile subglottic haemangioma, including a comparison of CO2 laser therapy versus tracheostomy. Int J Pediatr Otorhinolaryngol 2002; 64: 143-157.
- Sherrington CA, Sim DK, Freezer NJ, Robertson CF. Subglottic haemangioma. Arch Dis Child 1997; 76: 458-459.
- Koplewitz BZ, Springer C, Slasky BS, Avital A, Uwyyed K, Piccard E,
- Bar-Ziv J. CT of Hemangiomas of the Upper Airways in Children
- Bajaj Y, Hartley BE, Wyatt ME, Albert DM, Bailey CM. Subglottic
- haemangioma in children: experience with open surgical excision. J Laryngol Otol 2006;120:1033-1037.
Abstract
Stridor results from partially obstructed airways. A rare cause of stridor in infants is congenital subglottic hemangioma. It is characterized by dyspnea, recurrent obstructive bronchitis, laryngeal stridor and pneumonia unresponsive to treatment. Despite a benign condition, it may grow further and cause serious respiratory distress and death. Direct laryngoscopy establishes the diagnosis. Computerized tomography and magnetic resonance imaging may be used in the differential diagnosis of the lesion. Local or systemic steroids, laser ablation or surgery are the choices of treatment. An infant presenting with respiratory distress, unresponsive to therapy, diagnosed as congenital subglottic hemangioma is presented in this article
Keywords
References
- Goodman TR, McHugh K. The role of radiology in the evaluation of stridor. Arch Dis Child 1999; 81: 456-459.
- Naiman AN, Ayari S, Froehlich P. Controlled risk of stenosis after surgical excision of laryngeal hemangioma. Arch Otolarygol Head Neck Surg 2003; 129: 1291-1295.
- Chatrath P, Black M, Jani P, Albert DM, Bailey CM. A review of the current management of infantile subglottic haemangioma, including a comparison of CO2 laser therapy versus tracheostomy. Int J Pediatr Otorhinolaryngol 2002; 64: 143-157.
- Sherrington CA, Sim DK, Freezer NJ, Robertson CF. Subglottic haemangioma. Arch Dis Child 1997; 76: 458-459.
- Koplewitz BZ, Springer C, Slasky BS, Avital A, Uwyyed K, Piccard E,
- Bar-Ziv J. CT of Hemangiomas of the Upper Airways in Children
- Bajaj Y, Hartley BE, Wyatt ME, Albert DM, Bailey CM. Subglottic
- haemangioma in children: experience with open surgical excision. J Laryngol Otol 2006;120:1033-1037.
Details
| Other ID | JA44TM35SU |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | August 1, 2008 |
| Submission Date | August 1, 2008 |
| Published in Issue | Year 2008 Volume: 2 Issue: 1 |
The publication language of Turkish Journal of Pediatric Disease is English.
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