Congenital laryngeal stridor-a double trouble

Abstract

Hemangiomas of the airway are benign vascular lesions that can involve any site from the nares to the tracheobronchial tree. It is the most common head and neck tumors in infants. Most of these lesions are seen in the subglottic area in infants. The presence of supraglottic hemangioma is rarely described. This may be due to less likely chance of symptoms and the tendency of infantile hemangiomas to involute without therapy over time. Also, the occurrence of supraglottic hemangioma as a synchronous airway lesion (SAL) with laryngomalacia (LM) is very rare, with most common lesions being tracheal bronchus, tracheomalacia, bronchomalacia and subglottic stenosis We report a rare case of supraglottic hemangioma involving laryngeal surface of epiglottis, as an uncommon SAL with LM, both being unveiled during the evaluation for stridor in a sixty-five-day old infant. It responded well to medical treatment with oral propranolol as it is for most infantile hemangiomas.