Adult Laryngeal Hemangioma: A Rare Case Report

Abstract

Introduction: Benign vascular tumors known as hemangiomas are frequently observed in the head and neck area. Hemangiomas are more common in infantile and can regress spontaneously. In adults, laryngeal hemangioma is extremely rare. They may occur in supraglottic and glottic regions that can cause hoarseness, globus sensation, dysphagia, hemoptysis, and shortness of breath. As a result of the uncommon nature of these conditions, there are no clear treatment guidelines. Surgical excision under micro laryngoscopy with laser is still the first choice for laryngeal hemangiomas in adults. Aim: Give information on how to diagnosis adult laryngeal hemangioma and give information about the effectiveness and their efficacy using diode laser for the management. Case Report: A 51 year old woman appeared with a one-month history of gradually worsening shortness of breath and a five-month history of dysphonia. On fiberoptic laryngoscopy, examination revealed a purple-red mass in color, covering the vocal folds and almost entire of rim glottic. We performed tracheostomy procedures under local anesthesia before excision the hemangioma by microlaryngeal surgery with diode laser under general anesthesia. Method: Literature searching through Google Scholar, Pubmed and Science Direct using keywords of "laryngeal hemangioma", "management of laryngeal hemangioma" and "microlaryngoscopic surgery". Result: Selection based on inclusion and exclusion criteria, found only 1 literature was relevant with the topic. Conclusion: Microlaryngoscope surgery with diode laser is a best choice for treatment of adult laryngeal haemangioma because it is the safest and most effective. In cases accompanied wuth shortness of breath that causes by upper airway obstruction, a tracheostomy could be conducted.