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ENT · Airway: subglottic haemangioma
Sample itemA 3-month-old with a cutaneous haemangioma in the beard distribution develops progressive biphasic stridor. What is the first-line treatment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Oral propranolol
Subglottic haemangioma should be suspected with facial haemangiomas in the beard area and progressive stridor. Propranolol has replaced steroids as first-line medical therapy. Surgery or tracheostomy is reserved for failure.
Option by option
A. Radiotherapy
Radiotherapy is not used in infants.
B. Immediate laryngectomy
Laryngectomy is not indicated.
C. Antibiotics
Antibiotics have no role.
D. Oral propranolol (correct)
Correct. Propranolol is first-line for infantile haemangiomas.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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