Pediatric Subglottic Hemangiomas

return to: Pediatric Airway

see also: Use of Propranolol for Infantile Hemangioma

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1. GENERAL CONSIDERATIONS
   1. 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 significan promise.
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2. PREOPERATIVE PREPARATIONS
3. NURSING CONSIDERATIONS
4. ANESTHESIA CONSIDERATIONS
5. OPERATIVE PROCEDURE
6. POSTOPERATIVE CARE
   1. Continue to monitor childs weight as they grow and alter dosage of propanolol accordingly
       

      Treatment of subglottic hemangioma with propanolol at one week