Surgical Treatment of Laryngeal Haemangioma Laser CO2 Excision: Our Experience in Adult Patients

Maria Cristina Cristi, Valeria Gambacorta, Arianna Di Stadio*, Simona Pindozzi, Luigi Tassi and Giampietro Ricci

Surgical Treatment of Laryngeal Haemangioma Laser CO2 Excision: Our Experience in Adult Patients.

Haemangioma is a benign vascular tumor, of endothelial origin, that affects the head and neck region in 60% of cases. Laryngeal localization is rare.

In the last 9-years, we observed three cases of laryngeal haemangioma, two females, and one male. All patients underwent to surgical excision. None of the three cases had intraoperative complications.

The elective treatment of laryngeal haemangiomas remains controversial. In our cases, we opted for laser excision and we noticed that the risk of haemorrhages was particularly low, without no post-surgery complications.

We believe that due to the low morbidity and the fast-clinical recovery after treatment with definitive problem resolution, surgical treatment with laser CO2 should be always considered for treatment of laryngeal haemangioma.

It is more common during pediatric age; in children it tends towards spontaneous regression and
to subglottic localization, whereas in adults it is infrequent and is normally observed in the glottic or supraglottic region, mainly affecting the male sex.

Clinical symptoms are often absent;1 in fact, a diagnosis of supraglottic haemangioma is generally due to an occasional endoscopic finding. The detection of cutaneous head and neck haemangioma seems to be a risk factor because of the simultaneous presence of a laryngeal haemangioma; which happens in 50% of infantile haemangiomas, but only seldom in the adult variant.

From a histologic viewpoint, it is mainly of cavernous type or mixed with a thin and friable mucosa covering the vascular stroma. Potential complications consist of growth along with alteration of the laryngeal functionality; in the most advanced cases,
it might even give rise to obstructive symptoms of the respiratory tracts and to hemorrhage.

Otolaryngol Open J. 2019; 5(1): 5-7. doi: 10.17140/OTLOJ-5-151