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Pediatric Subglottic Hemangioma - Images After Propranolol Treatment

last modified on: Mon, 04/22/2024 - 10:28

return to: Pediatric Airway

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

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