{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:48:11Z","timestamp":1782604091997,"version":"3.54.5"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T00:00:00Z","timestamp":1488758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cervico\u2010mediastinal hemangiomas in adulthood are rare and slow\u2010growing vascular tumors. The optimal treatment for giant hemangiomas is controversial. In asymptomatic cases, clinical observation is generally recommended.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We report the transoral resection of a pharyngolaryngeal hemangioma (diameters of 44 \u00d7 56 \u00d7 39 mm) with tracheal involvement and mediastinal extension. Clinically, the patient had throat foreign body sensation, severe dyspnea and stridor. The hemangioma was first embolized by injecting ethylene\u2010vinyl alcohol copolymer (Onyx) transorally, and then the obstructive aspect of the tumor was resected with a bipolar and ultrasonic clamp (ThunderBeat\u00ae, Olympus).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two months after surgery, nasal fiberendoscopy showed complete disappearance of the vascular mass at the larynx and hypopharynx, with a normal mobility of the larynx.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In symptomatic patients, surgical reduction of large pharyngolaryngeal hemangiomas may be feasible by direct embolization and transoral ultrasonic resection. Both may provide an almost bloodless surgical field. \u00a9 2017 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>39:<\/jats:bold> 1239\u20131242, 2017<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24745","type":"journal-article","created":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T15:36:38Z","timestamp":1488814598000},"page":"1239-1242","source":"Crossref","is-referenced-by-count":11,"title":["Transoral ultrasonic surgery of pharyngolaryngeal giant hemangioma after ethylene\u2010vinyl alcohol copolymer (Onyx) embolization"],"prefix":"10.1002","volume":"39","author":[{"given":"Meritxell","family":"Valls\u2013Mateus","sequence":"first","affiliation":[{"name":"Otorhinolaryngology Department Hospital Clinic Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis San","family":"Rom\u00e1n","sequence":"additional","affiliation":[{"name":"Angioradiology Department Hospital Clinic Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Macho","sequence":"additional","affiliation":[{"name":"Angioradiology Department Hospital Clinic Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfons","family":"Nadal","sequence":"additional","affiliation":[{"name":"Pathology Department Hospital Clinic Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Bernal\u2013Sprekelsen","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Hospital Clinic Barcelona Spain"},{"name":"Faculty of Medicine University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Vilaseca","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Hospital Clinic Barcelona Spain"},{"name":"Faculty of Medicine University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,6]]},"reference":[{"key":"e_1_2_2_2_1","first-page":"314","article-title":"Management of laryngeal hemangioma in adults: a case report [in Turkish]","volume":"20","author":"Do\u011fan M","year":"2010","journal-title":"Kulak Burun Bogaz Ihtis Derg"},{"key":"e_1_2_2_3_1","first-page":"141","article-title":"Cavernous hemangioma of the larynx in the adult. 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A case report [in Spanish]","volume":"6","author":"Galindo\u2013Torres BP","year":"2015","journal-title":"Rev Soc Otorrinolaringol Castilla Leon Cantab La Rioja"},{"key":"e_1_2_2_6_1","first-page":"547","article-title":"Adult laryngeal hemangioma [in Croatian]","volume":"52","author":"Berkes B","year":"1998","journal-title":"Med Pregl"},{"issue":"1","key":"e_1_2_2_7_1","first-page":"E45","article-title":"Endoscopic and radiologic appearance of giant esophageal hemangioma","volume":"47","author":"Chen YY","year":"2015","journal-title":"Endoscopy"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(97)90055-7"},{"key":"e_1_2_2_9_1","first-page":"41","article-title":"Differences between Thunderbeat, LigaSure and Harmonic Scalpel Energy System in minimally invasive surgery","volume":"7","author":"Obonna GC","year":"2014","journal-title":"World J Lap Surg"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.3892\/ol.2015.3069"},{"key":"e_1_2_2_11_1","first-page":"E26","article-title":"Hypopharyngeal hemangioma in an adult: a case report","volume":"93","author":"Reder L","year":"2014","journal-title":"Ear Nose Throat J"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1284462"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.24745","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.24745","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T12:25:12Z","timestamp":1695731112000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.24745"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,6]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1002\/hed.24745"],"URL":"https:\/\/doi.org\/10.1002\/hed.24745","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,6]]}}}