Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-27T08:07:23.607Z Has data issue: false hasContentIssue false

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: ross.bannon@nhs.net

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 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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