Subglottic hemangioma

Otolaryngol Clin North Am. 2008 Oct;41(5):903-11, viii-ix. doi: 10.1016/j.otc.2008.04.009.


Subglottic hemangioma is a rare condition that can be potentially life threatening because of airway obstruction. It is common for subglottic hemangioma to be misdiagnosed as croup initially. Infants with a subglottic hemangioma and cutaneous facial hemangiomas in a "beard" distribution should be evaluated for PHACE syndrome. Endoscopic laser resection is effective for subglottic hemangioma but carries a chance of subglottic stenosis, up to 25%. Open excision of subglottic hemangioma is an excellent option, particularly in patients with bilateral or circumferential subglottic hemangioma. It is a more extensive surgery when compared with endoscopic laser resection. Surgeons who do not have access to a pediatric intensive care unit staffed by experienced pediatric intensivists should not use this procedure.

Publication types

  • Review

MeSH terms

  • Child
  • Child, Preschool
  • Glucocorticoids / therapeutic use
  • Hemangioma / diagnosis*
  • Hemangioma / etiology
  • Hemangioma / therapy*
  • Humans
  • Infant
  • Laryngeal Neoplasms / diagnosis*
  • Laryngeal Neoplasms / etiology
  • Laryngeal Neoplasms / therapy*
  • Laryngoscopy
  • Laser Therapy
  • Microsurgery
  • Tracheostomy


  • Glucocorticoids