Subglottic haemangioma

Objectives-To describe experience with subglottic haemangioma in a unit where conservative treatment has been favoured. Methods-Retrospective case note review of infants presenting with subglottic haemangioma over a 25 year period. Results-Thirty one infants were identified. Diagnosis was difficult where skin haemangiomas were absent and where the lesion was circumferential rather than asymmetrical. Tracheostomy was safe, well tolerated, and managed by the patients' family at home. Major complications were seen only when laser treatment was used. Conclusions-Aggressive treatment with substantial risks of long term complications may not be necessary in this spontaneously resolving disorder.