KTP laser ablation of extensive tracheal hemangiomas

Rameau, Anaïs; Zur, Karen B.

doi:10.1016/j.ijporl.2011.05.016

Cited by 8 publications

(5 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some authors have reported bronchoscopic resection of inflammatory pseudotumors, endobronchial carcinoids and haemangiomas [124][125][126][127]. Respiratory papillomas affecting the tracheobronchial tree can be removed endoscopically with a laser or microdebrider [128].…”

Section: Boxmentioning

confidence: 99%

ERS statement: interventional bronchoscopy in children

et al. 2017

View full text Add to dashboard Cite

Paediatric airway endoscopy is accepted as a diagnostic and therapeutic procedure, with an expanding number of indications and applications in children. The aim of this European Respiratory Society task force was to produce a statement on interventional bronchoscopy in children, describing the evidence available at present and current clinical practice, and identifying areas deserving further investigation. The multidisciplinary task force panel performed a systematic review of the literature, focusing on whole lung lavage, transbronchial and endobronchial biopsy, transbronchial needle aspiration with endobronchial ultrasound, foreign body extraction, balloon dilation and occlusion, laser-assisted procedures, usage of airway stents, microdebriders, cryotherapy, endoscopic intubation, application of drugs and other liquids, and caregiver perspectives. There is a scarcity of published evidence in this field, and in many cases the task force had to resort to the collective clinical experience of the committee to develop this statement. The highlighted gaps in knowledge underline the need for further research and serve as a call to paediatric bronchoscopists to work together in multicentre collaborations, for the benefit of children with airway disorders.

show abstract

Section: Boxmentioning

confidence: 99%

ERS statement: interventional bronchoscopy in children

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Rameau et al [10] successfully treated children presenting with symptomatic large tracheal hemangioma using K-potassium titanyl phosphate laser ablation, and they suggested this method for tracheal lesions. Excision of tumor with bronchoscopic forceps has also been reported as a successful method [2,4,5,7].…”

Section: Discussionmentioning

confidence: 99%

A Rare Cause of Hemoptysis in Childhood: Tracheal Capillary Hemangioma

et al. 2017

View full text Add to dashboard Cite

A Rare Cause of Hemoptysis in Childhood: Tracheal Capillary HemangiomaHemangiomas are benign tumors most frequently seen in childhood and are mostly associated with cutaneous and mucosal surfaces. Tracheal capillary hemangiomas are extremely rare. The most common presenting symptom is hemoptysis, ranging from minor to major and chronic cough. We present the case of a 12-year-old boy with recurrent hemoptysis due to tracheal capillary hemangioma, who was treated with interventional bronchoscopy. KEYWORDS: Hemoptysis, capillary hemangioma, trachea INTRODUCTIONPrimary tumors of the trachea are extremely rare, with an estimated incidence of approximately 2.7 new cases per million per year, and usually malignant in adults [1]. Lobular capillary hemangioma (LCH) is a benign tumor, more commonly seen in children, with a distinctive lobular arrangement of capillaries in edematous and fibroblastic stroma [2]. The usual sites of tumor are the lips, nose, oral cavity, and tongue. It typically presents with nonspecific clinical symptoms, such as cough and hemoptysis. Stridor is observed with subglottic localization of the tumor. Radiologic studies and bronchoscopy are usually sufficient for diagnosis. Interventional bronchoscopic techniques can treat these lesions and avoid aggressive surgical approaches. Mills et al. [3] reviewed 639 cases of vascular lesions of the oral cavity and upper respiratory tract. They found only 73 cases with LCH and no case with localization in or below the larynx. There is very limited literature on tracheal LCH [1]. We present here the diagnosis and management of a rare case of tracheal LCH that was successfully treated with interventional bronchoscopy. CASE PRESENTATIONA 12-year-old boy was admitted to our clinic due to recurrent hemoptysis. His symptoms started 2 years ago with approximately 100 mL of hemorrhage in a day after coughing. He also mentioned that a small amount of hemoptysis recurred whenever he had a respiratory tract infection. There was nothing in his history to indicate causes of hemoptysis, such as tuberculosis, recurrent lower respiratory tract infections, intravenous or oral drug use, or antibiotic therapy. He had no pets. Physical examination showed no abnormalities. His hematologic parameters were as follows: activated partial thromboplastin time: 24.7 sc; prothrombin time:15.2 s-58.2%, INR: 1.22; within normal limits). Other chemical laboratory test results were normal, as were chest radiography findings (Figure 1). Sputum acid-fast bacilli and Löwenstein-Jensen cultures were negative. Thorax computed tomography showed a polypoid lesion on the left lateral wall of the proximal trachea (Figure 2). Rigid bronchoscopy revealed a reddish polypoid lesion with a smooth surface on the left lateral wall localized in the proximal one-third of the trachea. The lesion was attached to the tracheal wall with a short pedicle (Figure 3a). The lesion was excised with electrocautery snare and was taken using biopsy forceps. The tracheal wall was coagulated with argon plasma coagulation...

show abstract

“…Benign tumors can obviously be more safely removed than malignant ones through an endoscopic approach. For example, subglottic hemangioma (SGH), which represents one of the most common laryngotracheal tumors in the pediatric population, may be definitely managed in this way, even due to its well-known tendency towards progressive spontaneous shrinkage when the child grows into adolescence (9). Moreover, the most modern tendency in management of such a tumor consists in the intravenous administration of propranolol, a medication of the beta blocker class.…”

Section: Endoscopic Treatmentmentioning

confidence: 99%

“…Even though carbon dioxide (CO 2 ) laser is the most common cutting tool in transoral laryngeal surgery, it is actually less suitable for tracheal or carinal lesions. In fact, even though CO 2 laser is now deliverable via optical fibers, its coagulation properties and maneuverability within a laser bronchoscope are suboptimal compared with the superior performance of other tools like potassium titanyl phosphate or neodymium yttrium aluminum garnet lasers, whose wavelengths are more indicated for reducing profuse bleeding from highly vascularized lesions such as SGHs (9,11).…”

Section: Endoscopic Treatmentmentioning

confidence: 99%

Surgical treatment of primary tracheal tumors in children and adolescents

Giannini¹,

Incandela²,

Bresciani³

et al. 2019

Pediatr Med

View full text Add to dashboard Cite

Pediatric primary tracheal tumors (PTTs) are rare entities, with an estimated incidence of 0.2% among all neoplasms in children and adolescents. Benign lesions and malignancies are rather equally represented, with subglottic hemangioma, granular cell tumor, carcinoid tumor, and low-grade mucoepidermoid carcinoma being the most common histotypes. Guidelines on management and treatment of pediatric PTTs are not available, and only a few reviews, case reports, and single surgeon/institute experiences have been published. A literature search was carried out focusing on the surgical approaches utilized in the most recent publications to manage pediatric PTTs, thus including case reports, single institute experiences, and reviews on surgical techniques. Moreover, we divided the available intervention modalities based on an anatomical classification, distinguishing between laryngotracheal, cervical tracheal, lower tracheal, and carinal scenarios. Endoscopic treatment is still underused, even for benign lesions: this is mainly due to the difficulties that surgeons may experience during airway management, appropriate tumor visualization, and its safe removal with adequate prevention/management of intraoperative complications.Considering open surgery, simple tumorectomy via median thyrotomy is the treatment of choice whenever possible (mainly for benign tumors), whereas in case of wider excisions, laryngotracheal resection and reconstruction with cartilage graft, end-to-end anastomosis, or neo-carinal reconstruction represent the most widely used procedures. All these techniques are similar to what described in adults. Strict cooperation with an experienced team of pediatric anesthesiologists and intensivists is of paramount importance for the adequate management of PTTs in young children. We are far from establishing a common guideline for treatment of PTTs. Mini-invasive procedures should be encouraged and developed since the majority of pediatric histotypes are benign or low-grade cancers. Moreover, patients should be addressed to specialized pediatric centers in order to improve and refine the existing techniques, laying the groundwork for the proposal of new procedures.

show abstract

KTP laser ablation of extensive tracheal hemangiomas

Cited by 8 publications

References 11 publications

ERS statement: interventional bronchoscopy in children

ERS statement: interventional bronchoscopy in children

A Rare Cause of Hemoptysis in Childhood: Tracheal Capillary Hemangioma

Surgical treatment of primary tracheal tumors in children and adolescents

Contact Info

Product

Resources

About