台灣耳鼻喉頭頸外科醫學會

類　　　別

病例報告

標　　　題

Management of Pediatric Epiglottic Hemangioma with Transoral CO2 Laser Microsurgery―A Case Study 僅供有效會員登入會員查看全文

頁　　　次

178~182

語　　　言

英文

關　鍵　詞

epiglottic hemangioma、supraglottic hemangioma、pediatric airway hemangiomas、CO2 laser、會厭血管瘤、聲門上血管瘤、小兒呼吸道腫瘤、二氧化碳雷射

作　者　群

Jiun-Yi Wu¹ 、Li-Jen Liao^1,2 、Po-Wen Cheng¹ 、Wei-Chen Hung¹ 、Ping-Chia Cheng^1,3

現　　　職

Department of Otolaryngology Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei City¹ 、Department of Electrical Engineering, Yuan Ze University, Taoyuan² 、Department of Biomedical Engineering, National Yang-Ming University, Taipei³

摘　　　要

Airway hemangiomas are benign vascular lesions encompassing a spectrum of presentations across the respiratory tract, from the nares to the tracheobronchial tree. While the majority of these lesions manifest in the subglottic region of infants, pediatric supraglottic hemangiomas are notably rare. We report a case of epiglottic hemangioma in a 12-year-old boy who presented with odynophagia. A transoral CO2 laser microsurgery was performed, and the patient was discharged the next day. Throughout the ongoing follow-up, the patient has remained disease-free, with no recurrence observed during the one-year follow-up period. Additionally, this report delineates management strategies for pediatric epiglottic hemangiomas. (J Taiwan Otolaryngol Head Neck Surg 2025; 59:178-182)
呼吸道血管瘤是良性的血管病變疾病，從鼻孔、喉部、氣管向下延伸到整個支氣管都可以是腫瘤發生的區域。大多數的血管瘤病灶出現在小兒的聲門下區域，而兒童聲門上血管瘤是相當罕見的案例。我們報告了1名在診間出現吞嚥疼痛、喉部異物感的12歲男性兒童，而後發現患有會厭腫瘤的案例。患者接受了經口二氧化碳雷射顯微手術，於第二天出院，隨後病理報告診斷為會咽血管瘤。在1年的追蹤期間沒有觀察到復發。此外，本報告描述了兒童會厭血管瘤的治療策略。（台耳醫誌　2025; 59:178-182）

台耳醫誌

雜誌專區 -第59卷第4期