The treatment of adult laryngeal hemangiomas located on the arytenoids: excision vs. Chemotherapy
Abstract
Objectives: To evaluate the results of the excision and chemotherapy treatment methods for ALHs located on the arytenoids.
Study design : retrospective study.
Setting and Participants: Twenty-six ALH patients in 29 different cases undergoing chemotherapy or excision were enrolled at our Department between June 2012 and March 2021.
Main outcome measures: .The mean lumen constriction score for ALH.
Results: All the patients in the ALH excision group were cured, and the ALHs did not recur. The mean lumen constriction score for the chemotherapy group was 2.95. The score for the ALH excision group was higher than that for the chemotherapy group.
Conclusion: Both chemotherapy and excision are safe and effective treatments for ALHs located on the arytenoids. On the condition that the ALH is well exposed and can be completely removed, ALH excision surgery is a better method to treat ALHs located on the arytenoids.
Key words: chemotherapy; bleomycin injection; adult laryngeal hemangiomas; excision surgery; arytenoid
Key Points
  1. ALHs located on the arytenoids are a special kind of ALH because of the location and the morphological characteristics of the arytenoids.
  2. ALHs can be successfully removed if they are pedunculated or limited to specific areas.
  3. ALH excision is a better method to treat ALHs located on the arytenoids.
  4. Before the ALH excision surgery, it must be determined whether the bases of the lesions are limited located on the arytenoids by the laryngoscope and contrast-enhanced CT.
  5. On the condition that the ALH is well exposed and can be completely removed, ALH excision surgery is a better method to treat ALHs located on the arytenoids.