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Laparoscopic instrument use in laryngeal surgery: transoral resection of a supraglottic haemangioma

Published online by Cambridge University Press:  17 July 2017

R Bannon*
Affiliation:
School of Medicine, University of St Andrews, Scotland, UK
R Gohil
Affiliation:
Department of Otolaryngology, Lauriston Building, Edinburgh, UK
J Manickavasagam
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee, Scotland, UK
*
Address for correspondence: Dr Ross Bannon, School of Medicine, University of St Andrews, North Haugh, St Andrews KY16 9TF, Scotland, UK E-mail: [email protected]

Abstract

Background:

Adult laryngeal haemangiomas are rare vascular tumours that have been managed by a variety of surgical techniques.

Methods:

This paper describes a case of near-fatal acute airway obstruction secondary to such a lesion, followed by our approach to surgical resection using a laparoscopic bipolar tissue-sealing device.

Results:

This technique resulted in successful excision of the lesion, with no evidence of recurrence at one year of follow up.

Conclusion:

Laparoscopic bipolar instruments can be used for the resection of moderate to large laryngeal haemangiomas as an alternative to laser excision.

Type
Short Communications
Copyright
Copyright © JLO (1984) Limited 2017 

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References

1 Sweetser, TH. Hemangioma of the larynx. Laryngoscope 1921;31:797806 Google Scholar
2 Berkes, B, Sente, M. Adult laryngeal haemangioma [in Croatian]. Med Pregl 1997;51:547–50Google Scholar
3 Kiho, L, Byard, RW. Acute fatal upper airway obstruction from an occult cavernous hemangioma of the larynx. J Forensic Sci 2015;60:93–6Google Scholar
4 Lin, YH, Ho, HC. Adult laryngeal hemangioma. Tzu Chi Med J 2010;22:237–40CrossRefGoogle Scholar
5 Wang, W, Tsai, K. Transoral robotic resection of an adult laryngeal haemangioma and review of the literature. J Laryngol Otol 2015;129:614–18Google Scholar
6 Lucioni, M, Marioni, G, Libera, DD, Rizzotto, G. Adult laryngeal hemangioma CO2 laser excision. A single institution 3-year experience. Acta Otolaryngol 2006;126:621–6CrossRefGoogle Scholar
7 Orlando, JL, Caldas, JG, Campos, HG, Nishinari, K, Krutman, M, Wolosker, N. Ethanol sclerotherapy of head and neck venous malformations. Einstein (São Paulo) 2014;12:181–6CrossRefGoogle ScholarPubMed
8 O'Neill, JV, Snyder, GG, Toomey, JM. Cryosurgery of supraglottic cavernous hemangioma. Arch Otolaryngol 1976;102:55–7Google Scholar
9 Lomeo, P, McDonald, J, Finneman, J. Adult laryngeal hemangioma: report of four cases. Ear Nose Throat J 2000;79:594–8Google Scholar
10 Kawakami, M, Hayashi, I, Yoshimura, K, Ichihara, K, Nishikawa, S, Ichihara, T. Adult giant hemangioma of the larynx: a case report. Auris Nasus Larynx 2006;33:479–82CrossRefGoogle ScholarPubMed
11 Huang, CM, Lee, KW, Huang, CJ. Radiation therapy for life-threatening huge laryngeal hemangioma involving pharynx and parapharyngeal space. Head Neck 2013;35:98101 Google Scholar
12 Campbell, PA, Cresswell, AB, Frank, TG, Cuschieri, A. Real-time thermography during energized vessel sealing and dissection. Surg Endosc 2003;17:1640–5Google Scholar
13 Seehofer, D, Mogl, M, Boas-Knoop, S, Unger, J, Schirmeier, A, Chopra, S et al. Safety and efficacy of new integrated bipolar and ultrasonic scissors compared to conventional laparoscopic 5-mm sealing and cutting instruments. Surg Endosc 2012;26:2541–9Google Scholar