Open excision of subglottic hemangioma with microscopic dissection

Multicenter Evaluation of the Effectiveness of Systemic Propranolol in the Treatment of Airway Hemangiomas

“…[8][9][10][11] A wide variety of surgical/interventional treatment methods have also been employed for AIH treatment, including intralesional steroid injection, embolization, laser therapy, tracheostomy with observation, and surgical excision. 4,5,[12][13][14] For cutaneous IHs, propranolol treatment has rapidly become the mainstay of treatment, and other medical and surgical treatments have fallen out of favor. 15 Recent reports have suggested a role for systemic propranolol in the management of AIH.…”

Diagnosis and Management of Infantile Hemangioma

“…326,341,342 Open surgical excision of a focally obstructing airway IH became popular in the 1990s, after complications of laser therapy became increasingly apparent. 329,[343][344][345] The procedure is useful in cases refractory to medical therapy and may be preferable to laser in patients with bilateral or circumferential lesions who may be at risk of postoperative stenosis or require tracheotomy. However, open surgical excision may be more difficult in cases involving significant extension outside the larynx, and the procedure may potentially result in some degree of dysphonia.…”

Open airway surgery for subglottic hemangioma in the era of propranolol: Is it still indicated?

“…Other authors have described successful surgical extirpation of hemangioma, often in a single stage fashion with thyroid ala graft augmentation [10,14]. However, there are other options; Vijayasekaran [13] published a series of 21 patients who underwent open excision of subglottic hemangiomas, and only 10 of them were augmented with either costal or thyroid cartilage.…”