INTRODUCTION
Laryngeal hemangiomas are relatively rare in the head and neck area.
Most infantile laryngeal hemangiomas resolve on their own, but adult
laryngeal hemangiomas (ALHs) do not tend to spontaneous resolve. ALHs
located on the arytenoids are a special kind of ALH because of the
location and the morphological characteristics of the arytenoids.
Compared to other laryngeal hemangiomas, the loose connective tissue of
the arytenoids can cause the base of ALHs to be more fully exposed. ALHs
located on the arytenoids should be treated because food often goes
through the arytenoids. A ruptured tumor can induce serious bleeding,
causing blood to flow into the respiratory tract; this can result in
death. Many methods have been used to treat ALHs. The optimal surgical
approach remains controversial. Some authors advise against ALH
excision1. However, Steiner and
Ambrosch2 state ALHs can be successfully removed if
they are pedunculated or limited to specific areas. In this study, we
review the results of 29 cases of ALHs located on the arytenoids to
evaluate the treatment methods of excision and conventional
chemotherapy.