Office-Based Subglottic Evaluation in Children With Risk of Subglottic Hemangioma. Ann Otol Rhinol Laryngol 2016 Apr;125(4):273-6
Date
10/16/2015Pubmed ID
26466859DOI
10.1177/0003489415608868Scopus ID
2-s2.0-84964033703 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
PURPOSE: Children with V3 cutaneous infantile hemangiomas (IH) and PHACE syndrome have a high incidence for airway hemangioma, 29% and 52%, respectively. Therefore, a clinical evaluation for these high-risk children is essential. We report our experience with in-office lower airway evaluation (OLAE) in these high-risk children.
RESULTS: Since 2003, 5 children with IH of the V3 cutaneous distribution and 3 children with PHACE syndrome underwent OLAE. Average age of presentation was 2.75 months. Two children had stridor at initial evaluation, and 1 child had subglottic hemangioma. This child was evaluated serially with OLAE to monitor disease progression and treatment response. A total of 10 upper tracheoscopies were performed on the 8 patients without respiratory complications.
CONCLUSION: An airway evaluation is essential to evaluate and manage this high-risk population. Typically, operative endoscopy requires general anesthesia. However, in these high-risk children, we have performed OLAE without sedation to evaluate the trachea. High-speed recording and playback is essential in this method. Our series demonstrates that awake OLAE is possible and may be a safe technique to evaluate and monitor disease progression in these high-risk patients. These patients avoided general anesthesia and delay in diagnosis and did not incur any complications during or after OLAE.
Author List
Chun RH, McCormick ME, Martin T, Drolet BA, Kerschner JEAuthors
Robert H. Chun MD Professor in the Otolaryngology department at Medical College of WisconsinMichael E. McCormick MD Associate Professor in the Otolaryngology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Ambulatory CareAortic Coarctation
Bronchoscopy
Cohort Studies
Comorbidity
Eye Abnormalities
Facial Neoplasms
Female
Glottis
Hemangioma
Humans
Infant
Laryngeal Neoplasms
Laryngoscopy
Male
Neurocutaneous Syndromes
Retrospective Studies
Risk Factors
Skin Neoplasms
Tracheal Neoplasms
