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October 1982

Infantile Subglottic Hemangioma

Arch Otolaryngol. 1982;108(10):671. doi:10.1001/archotol.1982.00790580065020

To the Editor.—In the article entitled "Conservative Treatment of Infantile Subglottic Hemangioma With Corticosteroids" published in the February Archives (1982;108:117-119), Drs Kveton and Pillsbury discussed my article regarding the treatment of subglottic hemangioma with the carbon dioxide laser.1 They stated that "the uncommon, but potentially fatal, complication of inhalation burn secondary to laser puncture of the endotracheal tube was not reported in this series." This implies that experienced complications were not reported in my article.

In all of the cases reported, an endotracheal tube of combustible material was not used. Patients who did not undergo a prior tracheotomy underwent ventilation by the use of the Venturi needle technique.2 Patients in whom a tracheotomy was in place underwent ventilation through a sterling silver tracheotomy tube to avoid the possibility of combustion.

It is my hope that your readers will not be misled by the comments made in the