Subglottic hemangiomas in infants: treatment with intralesional corticosteroid injection and intubation

Meeuwis, J.; Bos, C. E.; Hoeve, L.J.; Voort, Edwin van der

doi:10.1016/0165-5876(90)90220-l

Cited by 45 publications

(28 citation statements)

References 15 publications

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“…Primary care physicians should be aware of which hemangiomas are most likely to cause complications and/or need treatment (Table 1). 9,12,26,27 This recognition can help expedite referrals of high-risk infants and avoid unnecessary referrals of hemangiomas that are likely to remain innocuous. Second, referrals for high-risk hemangiomas that are growing should be considered urgent rather than routine by both the referring and the consulting physicians.…”

Section: Implications For Monitoring Patients and Timing Of Referral mentioning

confidence: 95%

Growth Characteristics of Infantile Hemangiomas: Implications for Management

et al. 2008

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Most infantile hemangioma growth occurs before 5 months, yet 5 months was also the mean age at first visit to a specialist. Recognition of growth characteristics and factors that predict the need for follow-up could help aid in clinical decision-making. The first few weeks to months of life are a critical time in hemangioma growth. Infants with hemangiomas need close observation during this period, and those who need specialty care should be referred and seen as early as possible within this critical growth period.

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Section: Implications For Monitoring Patients and Timing Of Referral mentioning

confidence: 95%

Growth Characteristics of Infantile Hemangiomas: Implications for Management

et al. 2008

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“…There may be associated cutaneous hemangioma in up to 50 % of cases [39]. The management options include systemic and intra-lesional corticosteroids, laser or open excision, adjuvant therapy with alpha-interferon, cyclophosphamide, vincristine and radiotherapy [40].…”

Section: Subglottic Hemangiomamentioning

confidence: 99%

Upper Airway Obstruction in Children

2015

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Children with upper airway obstruction are both unique and variable in their presentation and management, often posing a challenge to the pediatrician. Several anatomical and physiologic peculiarities make a child vulnerable to develop an obstruction of upper airways. The characteristic finding in upper airway obstruction is stridor-inspiratory, biphasic or expiratory. The etiologies vary widely throughout the age groups and according to the mode of presentation. The approach starts with suspicion, mandates careful clinical evaluation of the degree of obstruction and many a times emergency measures precede any investigation or even precise diagnosis. Maintaining an open and stable airway is of the utmost importance, often requiring a team approach of emergency physician, pediatrician, otorhinolaryngologist and pediatric pulmonologist. The commonest condition presenting with upper airway obstruction in pediatric population is viral croup. Croup is a clinical diagnosis in a febrile child, with barking cough and stridor preceded by upper respiratory infection. It is treated with systemic or inhaled steroids and nebulized epinephrine. Epiglottitis and bacterial tracheitis are acute bacterial infections of upper airways, presenting as true airway emergencies. Though the mainstay of therapy is IV antibiotics, the prime concern is maintenance of airway, which frequently requires endotracheal intubation. Rigid bronchoscopy is the procedure of choice for airway foreign bodies, a common cause of upper airway obstruction in children below 3 y of age. Airway malacias are the commonest cause of chronic stridor and are mostly managed conservatively.

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“…Positive results were achieved in some cases by systemic corticoid administration [21,25], but, just as in interferon therapy, systemic side effects can be expected. These do not occur with local corticoid injection [6,26]. Since these measures for eliminating hemangiomas were not reliably effective and carried the risk of cicatricial stenosis formation, some authors recommended protective tracheostomy as the sole procedure [1,27].…”

Section: Discussionmentioning

confidence: 98%