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Recent updates in laryngeal hemangioma management: a scoping review

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Abstract

Purpose

To provide a comprehensive review of the current strategies in the management of laryngeal hemangiomas, with an aim to introduce a management algorithm that aligns with the variable clinical presentations and anatomical complexities of these lesions.

Methods

We conducted an extensive literature search across major databases using specific and general terms, combined with Boolean operators, to ensure comprehensiveness. Articles from January 2004 to August 2023 were included, with findings categorized by management approach.

Results

Laryngeal hemangiomas exhibit a spectrum of manifestations, ranging from asymptomatic lesions to those causing severe airway obstruction. Optimal management demands an individualized approach tailored to the patient's unique presentation and anatomical considerations. Diverse treatment modalities, each with distinct indications, advantages, and limitations, are explored. Notable highlights encompass the prominent role of Beta-blockers, notably Propranolol, in addressing problematic infantile hemangiomas, the nuanced efficacy of laser therapies contingent upon hemangioma type and depth, and the critical relevance of tracheotomy in emergencies. Novel approaches like transoral robotic surgery and transoral ultrasonic surgery, demonstrate promise in specific scenarios. We propose a management algorithm based on the complexity and presentation of laryngeal hemangiomas, emphasizing individualized treatment strategies, thereby addressing the unique challenges and nuances of each case.

Conclusion

Laryngeal hemangioma management requires personalized approaches informed by diverse therapies, clinical expertise, and collaboration. The review introduces an algorithm spanning observation to advanced interventions, adapting to each case’s complexity. Ongoing research promises innovative treatments.

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Acknowledgements

The authors thanks Dr. Mohamed Amine Haireche for his valuable assistance in the editing of this review.

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  1. King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia

    Ali Almothahbi, Manal Bukhari, Mohammed Almohizea, Nawaf Alsubaie, Talal F. Alharbi, Hassan M. Alhazzani & Faisal Zagzoog

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This scoping review has been conducted with a commitment to the highest ethical standards. We have adhered to guidelines for literature selection, data extraction, and synthesis to ensure the integrity and reliability of this review. Additionally, we respect the intellectual property rights of all authors and have appropriately cited and credited their work. No research involving human subjects or animals was conducted as part of this review. The purpose of this review is to provide a comprehensive overview of existing literature in a transparent and unbiased manner, with the goal of advancing knowledge in the field.

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Almothahbi, A., Bukhari, M., Almohizea, M. et al. Recent updates in laryngeal hemangioma management: a scoping review. Eur Arch Otorhinolaryngol 281, 2211–2222 (2024). https://doi.org/10.1007/s00405-023-08378-y

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