Case Report
Year 2022,
Volume: 17 Issue: 3, 239 - 241, 02.11.2022
Abstract
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.
Keywords
Supporting Institution
yoktur
Project Number
-
Thanks
-
References
- Wang W, Tsai K. Transoral robotic resection of an adult laryngeal haemangioma and review of the literature. J Laryngol Otol 2015;129:614-618.
- Valletti PA, Toso A, Gorris C, Dell’Era V, Golinelli G, Pia F. Adult laryngeal ossified hemangioma: Difficulties in differential diagnosis. Journal of Craniofacial Surgery 2018;29:730-732.
- Sharifi A, Nazemieh M, Moghadaszadeh M. Supraglottic hemangioma as a rare cause of recurrent hemoptysis: A new treatment modality with argon plasma coagulation (APC). Tanaffos 2014;13:50.
- Kiho L, Byard RW. Acute fatal upper airway obstruction from an occult cavernous hemangioma of the larynx. Journal of forensic sciences 2015;60:93-96.
- Liu F, Xiao Y, Wang J. Therapeutic efficacy of intralesional bleomycin injection for laryngopharyngeal haemangioma in adults. Acta oto-laryngologica 2019;139:1117-1121.
- Yılmaz MD, Aktepe F, Altuntaş A. Cavernous hemangioma of the left vocal cord. European Archives of Oto-Rhino-Laryngology and Head & Neck 2004;261:310-311.
- Wang X, Zhao X, Zhu W. Resection of a laryngeal hemangioma in an adult using an ultrasonic scalpel: A case report. Oncology letters 2015;9:2477-2480.
- Kawakami M, Hayashi I, Yoshimura K, Ichihara K, Nishikawa S, Ichihara T. Adult giant hemangioma of the larynx: A case report. Auris Nasus Larynx 2006;33:479-482.
Year 2022,
Volume: 17 Issue: 3, 239 - 241, 02.11.2022
Abstract
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.
Keywords
Project Number
-
References
- Wang W, Tsai K. Transoral robotic resection of an adult laryngeal haemangioma and review of the literature. J Laryngol Otol 2015;129:614-618.
- Valletti PA, Toso A, Gorris C, Dell’Era V, Golinelli G, Pia F. Adult laryngeal ossified hemangioma: Difficulties in differential diagnosis. Journal of Craniofacial Surgery 2018;29:730-732.
- Sharifi A, Nazemieh M, Moghadaszadeh M. Supraglottic hemangioma as a rare cause of recurrent hemoptysis: A new treatment modality with argon plasma coagulation (APC). Tanaffos 2014;13:50.
- Kiho L, Byard RW. Acute fatal upper airway obstruction from an occult cavernous hemangioma of the larynx. Journal of forensic sciences 2015;60:93-96.
- Liu F, Xiao Y, Wang J. Therapeutic efficacy of intralesional bleomycin injection for laryngopharyngeal haemangioma in adults. Acta oto-laryngologica 2019;139:1117-1121.
- Yılmaz MD, Aktepe F, Altuntaş A. Cavernous hemangioma of the left vocal cord. European Archives of Oto-Rhino-Laryngology and Head & Neck 2004;261:310-311.
- Wang X, Zhao X, Zhu W. Resection of a laryngeal hemangioma in an adult using an ultrasonic scalpel: A case report. Oncology letters 2015;9:2477-2480.
- Kawakami M, Hayashi I, Yoshimura K, Ichihara K, Nishikawa S, Ichihara T. Adult giant hemangioma of the larynx: A case report. Auris Nasus Larynx 2006;33:479-482.
There are 8 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Olgu Sunumları |
| Authors | |
| Project Number | - |
| Early Pub Date | November 1, 2022 |
| Publication Date | November 2, 2022 |
| Submission Date | March 16, 2021 |
| Acceptance Date | May 1, 2021 |
| Published in Issue | Year 2022 Volume: 17 Issue: 3 |
