L A Ohlms1, J Forsen, P E Burrows. 1. Department of Otolaryngology, Children's Hospital, Harvard Medical School, Boston, MA, USA.
Abstract
OBJECTIVE: To evaluate the management of venous malformations of the pediatric airway, including diagnostic criteria and response to sclerotherapy and laser photocoagulation. DESIGN: Case series analysis of eight patients diagnosed with venous malformations of the upper airway. SETTING: Academic, tertiary care, children's hospital. PATIENTS: Eight patients (3 female, 5 male) with congenital venous malformations of the upper airway. INTERVENTION: Each patient underwent an individualized treatment regimen of sclerotherapy, laser photocoagulation and/or surgery. RESULTS: The combination of sclerotherapy and laser photocoagulation appears to cause gradual regression of the malformation. Five of the eight patients will require further therapy; two patients remain tracheotomy dependent. CONCLUSIONS: Extensive venous malformations of the pediatric airway require staged therapy, with a combination of sclerotherapy and photocoagulation. Long-term follow-up is essential because of the natural history of these lesions.
OBJECTIVE: To evaluate the management of venous malformations of the pediatric airway, including diagnostic criteria and response to sclerotherapy and laser photocoagulation. DESIGN: Case series analysis of eight patients diagnosed with venous malformations of the upper airway. SETTING: Academic, tertiary care, children's hospital. PATIENTS: Eight patients (3 female, 5 male) with congenital venous malformations of the upper airway. INTERVENTION: Each patient underwent an individualized treatment regimen of sclerotherapy, laser photocoagulation and/or surgery. RESULTS: The combination of sclerotherapy and laser photocoagulation appears to cause gradual regression of the malformation. Five of the eight patients will require further therapy; two patients remain tracheotomy dependent. CONCLUSIONS: Extensive venous malformations of the pediatric airway require staged therapy, with a combination of sclerotherapy and photocoagulation. Long-term follow-up is essential because of the natural history of these lesions.
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