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Published in: European Archives of Oto-Rhino-Laryngology 5/2024

29-12-2023 | Hemangioma | Review Article

Recent updates in laryngeal hemangioma management: a scoping review

Authors: Ali Almothahbi, Manal Bukhari, Mohammed Almohizea, Nawaf Alsubaie, Talal F. Alharbi, Hassan M. Alhazzani, Faisal Zagzoog

Published in: European Archives of Oto-Rhino-Laryngology | Issue 5/2024

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Abstract

Purpose

To provide a comprehensive review of the current strategies in the management of laryngeal hemangiomas, with an aim to introduce a management algorithm that aligns with the variable clinical presentations and anatomical complexities of these lesions.

Methods

We conducted an extensive literature search across major databases using specific and general terms, combined with Boolean operators, to ensure comprehensiveness. Articles from January 2004 to August 2023 were included, with findings categorized by management approach.

Results

Laryngeal hemangiomas exhibit a spectrum of manifestations, ranging from asymptomatic lesions to those causing severe airway obstruction. Optimal management demands an individualized approach tailored to the patient's unique presentation and anatomical considerations. Diverse treatment modalities, each with distinct indications, advantages, and limitations, are explored. Notable highlights encompass the prominent role of Beta-blockers, notably Propranolol, in addressing problematic infantile hemangiomas, the nuanced efficacy of laser therapies contingent upon hemangioma type and depth, and the critical relevance of tracheotomy in emergencies. Novel approaches like transoral robotic surgery and transoral ultrasonic surgery, demonstrate promise in specific scenarios. We propose a management algorithm based on the complexity and presentation of laryngeal hemangiomas, emphasizing individualized treatment strategies, thereby addressing the unique challenges and nuances of each case.

Conclusion

Laryngeal hemangioma management requires personalized approaches informed by diverse therapies, clinical expertise, and collaboration. The review introduces an algorithm spanning observation to advanced interventions, adapting to each case’s complexity. Ongoing research promises innovative treatments.
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Metadata
Title
Recent updates in laryngeal hemangioma management: a scoping review
Authors
Ali Almothahbi
Manal Bukhari
Mohammed Almohizea
Nawaf Alsubaie
Talal F. Alharbi
Hassan M. Alhazzani
Faisal Zagzoog
Publication date
29-12-2023
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 5/2024
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-023-08378-y

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