HEMANGIOMA OF THE LARYNX IN INFANTS
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Hemangioma of the larynx is an uncommon condition. Irwin Moore1in 1923 was able to find only 76 cases in the literature; these included his own reported at that time. Hückel2in 1928, in a study of the records of a series of 26,999 patients admitted to the Göttinger Institute, reported the occurrence of 123 benign tumors of the larynx; of these only 4 were hemangiomas. New and Erich,3in reviewing the cases observed at the Mayo Clinic during the last thirty years, found 722 benign tumors of the larynx; 26 of these growths were hemangiomas. Laryngeal hemangiomas were first classified by Sweetser4in 1921, into the adult and the infantile type. The former type occurs usually on or above the vocal cords, and the latter, subglottically. The hemangioma in the case we are about to report falls into the infantile group. We have been able to find only 5Cite
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Seperti pada dewasa, teknik regional anestesi pada pediatrik kini makin popular digunakan oleh ahli anestesikarena keuntungannya. Namun demikian selalu ada risiko dan kemungkinan timbulnya komplikasi dari setiap tindakan yang dilakukan, termasuk tindakan anestesi regional pada pediatrik. Insidensi komplikasi anestesi regional pada pediatrik tidak banyak, dan kalaupun terjadi komplikasi adalah minor. Komplikasi bisa diakibatkan dari identifikasi ruang saraf, alat, obat, teknis tindakan anestesi regionalnya dan komplikasi lainnya.Walaupun tidak banyak kejadian komplikasi regional anestesi yang dilaporkan pada pediatrik, dan bukanlah komplikasi yang fatal, teknik regional anestesi pada pediatrik harus dilakukan dengan lebih hatihati, pertimbangan risiko dan keuntungannya untuk menghindari terjadinya komplikasi, terlebih karena kebanyakan komplikasi dapat dihindari dengan mempelajari teknik yang benar, menggunakan peralatan yang sesuai, dan sangat menerapkan prinsip keamanan pada pasien dengan baik.
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Recently I found among some of the material which I had brought with me from Germany the two accompanying pictures from a case of hemangioma of the larynx, which, so far as I am aware, is quite unique. Hemangioma of the larynx. A laborer, aged 35, was referred to me by a general practitioner for relief from severe attacks of suffocation. Examination revealed laryngeal hemangiomas of such size that they could completely obstruct the airway when they were swollen. On the advice of Professor von Eicken, I injected a few drops of 1:1,000 mercury bichloride solution. The effect was rapid. The hemangiomas disappeared completely, and so far as I know there was no recurrence. The patient did not return for further treatment, and he was soon lost to follow-up.
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Hemangioma of the larynx is an uncommon condition. Irwin Moore1in 1923 was able to find only 76 cases in the literature; these included his own reported at that time. Hückel2in 1928, in a study of the records of a series of 26,999 patients admitted to the Göttinger Institute, reported the occurrence of 123 benign tumors of the larynx; of these only 4 were hemangiomas. New and Erich,3in reviewing the cases observed at the Mayo Clinic during the last thirty years, found 722 benign tumors of the larynx; 26 of these growths were hemangiomas. Laryngeal hemangiomas were first classified by Sweetser4in 1921, into the adult and the infantile type. The former type occurs usually on or above the vocal cords, and the latter, subglottically. The hemangioma in the case we are about to report falls into the infantile group. We have been able to find only 5
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