Abstract
Our experience with five cases of congenital subglottic hemangioma is amplified by a review of 14 previously reported cases. The 19 patients were all less than 1 year of age, and 12 of them were girls. All showed evidence of laryngeal obstruction, which was usually episodic and usually sufficiently severe to require tracheotomy. Detection of subglottic stenosis by roentgenographic, laryngoscopic or bronchoscopic examinations permitted clinical diagnosis to be made in 11 cases, in 7 of which recovery or clinical improvement was attained by roentgen or radium therapy, or by surgical excision of the lesion. Twelve patients died: death resulted from asphyxia in eight cases that were undiagnosed or misdiagnosed clinically. Since subglottic hemangiomas have been overlooked at gross post-mortem examination of the larynx, histologic examination of the subglottic region is advocated as a routine necropsy procedure in cases of unexplained death in infancy.
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