Hemangiomas are the most common vascular tumors mostly
(60%) seen in the head-neck region. Head-neck hemangiomas
are seen frequently in the oral cavity, rarely in the
larynx. Adult laryngeal hemangiomas are rare and often
seen in the supraglottic region, therefore causing dysphagia/
dysphonia. We presented two-cases with laryngeal hemangioma,
discussed the diagnosis, treatment and follow-up of
adult cavernous hemangiomas. A forty-one-year-old female
patient applied to hospital with hoarseness and breathing
difficulty lasting for three years. A cavernous hemangioma
located on laryngeal surface of the epiglottis was excised
through a transoral endoscopic approach. The patient had
no symptoms after the operation but on the postoperative 34th
month follow-up she was admitted to our clinic again because
of difficulty during swallowing. Relapsed hemangioma was
diagnosed and reoperated by open surgery (laryngofissure).
After reoperation the patient had symptomatic relief in three
months and videolaryngoscopic examination showed granulation
tissue. The patients regular follow-up was continued.
A forty-year-old female other patient was applied to hospital
with hoarseness and swallowing difficulty worsening in three
months. Hemangioma located in the postcricoid area with
extensive to hypopharynx-esophagus junction was diagnosed.
The location of the lesion in imaging techniques was
evaluated with the thoracic surgery and gastroenterology
department and we decided not to do any operation and
follow-up patient by considering the severity of symptoms,
location of leison and complications of operation.
FREE FULL TEXTAnahtar Kelimeler: Epiglot; hemanjiyom/cerrahi; oral kavite