Open resection and laryngotracheal reconstruction in a case of subglottic hemangioma in PHACE syndrome

Publication date: May 2018
Source:International Journal of Pediatric Otorhinolaryngology, Volume 108
Author(s): Laura A. Petrauskas, Vilija J. Vaitaitis, Gerhard Mundinger, Claudie Sheahan, Jeffrey Poole, Sohit Paul Kanotra
We describe a 1 month old infant with PHACE syndrome who underwent successful management of subglottic hemangioma by open resection and laryngotracheal reconstruction using a thyroid ala graft. Propranolol is typically the treatment of choice for subglottic hemangiomas however, recent reports have suggested adverse complications with the use of propranolol in children with PHACE syndrome. The child had cerebral and cervical vascular anomalies associated with her PHACE syndrome making her at an increased risk of stroke with the use of propranolol.



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