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Subglottic hemangioma can be missed: Two case reports

机译:可以错过秘银血管瘤:两种情况报告

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We report 2 cases of infants with subglottic hemangioma, in which the diagnosis was later discovered. These two infants had initially presented with stridor. They were both thoroughly investigated, but no abnormality was found after different procedures and investigations. Later, a subglottic hemangioma was seen during direct laryngobronchoscopy in the first infant. The second infant underwent multiple direct laryngobronchoscopies that were unremarkable, but the last one showed a blue rubber mass covered by normal mucosa in the subglottic area. A CT scan of the neck with contrast confirmed the diagnosis of subglottic hemangioma. A high index of suspicion is needed in subglottic hemangioma, as late diagnosis can lead to a higher mortality rate. Sometimes, serial direct laryngobronchoscopies cannot establish a diagnosis; however contrasted CT scans can aid in the diagnosis.
机译:我们报告2例婴儿血管血管瘤,其中稍后发现了诊断。这两个婴儿最初呈现了走向。他们都彻底调查,但在不同的程序和调查后没有发现异常。后来,在第一婴儿的直接喉血管镜期间看到了缩小血管瘤。第二个婴儿接受了多种直接的喉波镜检查,其不起眼,但最后一个呈现出在郊区粘膜覆盖的蓝色橡胶块。颈部的CT扫描具有对比度证实了子血管血管瘤的诊断。外血管血管瘤需要高度怀疑,因为晚期诊断可能导致更高的死亡率。有时,串行直接喉波镜检查不能建立诊断;然而,对比的CT扫描可以帮助诊断。

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