Customized Surgical Treatment of VPI with Pharyngeal Flaps Using Flexible Video Nasopharyngoscopy and Multiplanar Video Fluoroscopy

Abstract

Imaging with ultrasound and MRI demonstrated homogenous vascularity consistent with hemangioma. History revealed that the patient's mother had been on propranolol for congenital tachycardia pre-and post-natally. She had been breast-feeding up until a few days before the parotid swelling started but had been transitioning to formula. The infant was started on propranolol (goal dose 2mg/kg/day) with rapid improvement.