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see also: Use of Propranolol for Infantile Hemangioma
GENERAL CONSIDERATIONS
Infantile subglottic hemangiomas cause biphasic stridor following proliferation of the lesion at 1-2 months of age. Diagnosis of this lesion requires direct laryngoscopy and bronchoscopy with direct visualization of the lesion. Although many therapies have been used in the past including open surgical incision, tracheotomy, laser ablation, intralesional steroid injection or systemic steroids, treatment of patients with Propanolol has demonstrated significant promise.
POSTOPERATIVE CARE
Continue to monitor childs weight as they grow and alter dosage of propanolol accordingly
Treatment of subglottic hemangioma with propanolol at one week |
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References
Ganeva K, Shivachev P, Sapundzhiev N, Nikiforova L. Propranolol treatment of infantile subglottic hemangioma: a report of two cases and a literature review. Folia Med (Plovdiv). 2021 Aug 31;63(4):601-607. doi: 10.3897/folmed.63.e58121. PMID: 35851161.
Drolet BA et al:Initiaion and Use of Propranolol for Infantile Hemangioma: Report of a Consensus Conference American Academy of Pediatrics Pediatrics 2013;131:128