Adult Laryngeal Hemangioma: Airway Obstruction

Yıl 2022, Cilt: 17 Sayı: 3, 239 - 241, 02.11.2022

İrfan Kara , Muhammed Gazi Yıldız , İsrafil Orhan , Nagihan Bilal , Saime Sağıroğlu

https://doi.org/10.17517/ksutfd.895159

Öz

Abstract

Adult laryngeal hemangiomas (ALH) are clearly defined, with a bluish red color, appearing most often in the glottic and supraglottic region. The principal symptoms are hoarseness, occasional hemoptysis, and in advanced cases, dysphagia and difficulty in breathing. The patient was a 55 year old female suffering from hoarseness for a long time, experiencing shortness of breath for the last 1 year and she was referred to our clinic from the emergency department due to stridor. In the endoscopic examination of the patient, both vocal cords were found to be mobile, and a blue-purple mass lesion was detected, which was filling the subglottic region and allowing air passage only in the posterior part. Emergent tracheotomy was performed for the airway safety. The mass located in the subglottic region was approached with the Laryngofissure technique and was excised. Surgical management is necessary when ALHs became symptomatic for hemorrhagic or infectious complications, or for progressive airway obstruction. In this paper, we present the clinical and radiological features of a large subglottic ALH.

Anahtar Kelimeler

hemangioma;, airway obstruction;, larynx;, treatment

Destekleyen Kurum

yoktur

Proje Numarası

-

Teşekkür

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Erişkin Laringeal Hemanjiom: Hava Yolu Obstrüksiyonu

Öz

Özet

Yetişkin laringeal hemanjiyomlar (YLH), en sık glotis ve supraglotis bölgesinde görülen mavimsi kırmızı renkli lezyonlardır. Başlıca semptomlar ses kısıklığı, nadiren hemoptizi ve ileri vakalarda disfaji ve nefes almada güçlüktür. Uzun süredir ses kısıklığı olan ve son bir yıldır nefes darlığı şikayeti olan 55 yaşında kadın hasta acil servisten stridor nedeniyle kliniğimize konsülte edildi. Hastanın endoskopik muayenesinde her iki vokal kordun hareketli olduğu görüldü, subglottik bölgeyi dolduran, hava pasajını daraltan ve sadece pasajın posterior kısmından hava akımına izin veren mavi-mor renkli kitle lezyonu saptandı. Hava yolu güvenliği için acil trakeotomi açıldı. Subglottik bölgede yer alan kitleye laringofissür tekniği ile yaklaşıldı ve eksize edildi. YLH hemorajik veya enfeksiyöz komplikasyonlara bağlı semptomatik olduğunda veya progresif hava yolu obstrüksiyonuna sebep olduğunda cerrahi tedavi gereklidir. Bu yazıda, büyük bir subglottik YLH’nin klinik ve radyolojik özellikleri sunuldu.

Anahtar Kelimeler

hemangioma;, airway obstruction;, larynx;

Proje Numarası

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Kaynakça

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