Adult Laryngeal Hemangioma: Airway Obstruction

Abstract

Adult laryngeal hemangiomas (ALH) are clearly defined, with a bluish red color, appearing most often in the glottic and supraglottic region. The principal symptoms are hoarseness, occasional hemoptysis, and in advanced cases, dysphagia and difficulty in breathing. The patient was a 55 year old female suffering from hoarseness for a long time, experiencing shortness of breath for the last 1 year and she was referred to our clinic from the emergency department due to stridor. In the endoscopic examination of the patient, both vocal cords were found to be mobile, and a blue-purple mass lesion was detected, which was filling the subglottic region and allowing air passage only in the posterior part. Emergent tracheotomy was performed for the airway safety. The mass located in the subglottic region was approached with the Laryngofissure technique and was excised. Surgical management is necessary when ALHs became symptomatic for hemorrhagic or infectious complications, or for progressive airway obstruction. In this paper, we present the clinical and radiological features of a large subglottic ALH.

Epiglottic capillary hemangioma in an adult female: A rare case report

“…The most often affected location in this area is the oral cavity, whereas pharyngeal and laryngeal involvement is quite rare. Among the hypothesized etiological causes of ALH include laryngeal trauma (i.e., intubation), vocal abuse, and smoking [ 4 ]. The precise incidence and etiology of the tumor are yet unknown due to their rarity [ 6 ].…”

“…Adult laryngeal hemangiomas (ALH) are distinct and have a blue red appearance. The primary sign is hoarseness, with occasional hemoptysis and in severe instances, dysphagia and breathing problems [ 4 ]. In adults, hemangiomas do not regress spontaneously unlike in children [ 1 ].…”

“…There is no “gold standard” for the identification of these lesions [ 5 ]. There have been reports of surgical removal, sclerotherapy, cryosurgery, laser surgery, radiation therapy, transoral robotic surgery and other therapies [ 4 ]. Here we present the case of 43 year old female with capillary hemangioma of epiglottis for which very few such cases have been reported in medical literature to the best of our knowledge.…”