# Congenital Cervicofacial Haemangioma With Deep Airway Extension

## TL;DR

A man in his 50s with a congenital neck hemangioma experiences symptoms after increased physical activity, revealing airway extension and management challenges.

## Contribution

This case highlights the unexpected progression and management complexities of a long-standing congenital hemangioma with deep airway involvement.

## Key findings

- The patient's hemangioma extended into the deep airway, causing discomfort after physical exertion.
- Flexible laryngoscopy and CT imaging showed more extensive airway involvement than initially suspected.
- The patient maintains a good quality of life without needing medical or surgical treatment.

## Abstract

The authors present a compelling case of a man in his 50s whose long-standing congenital cervical haemangioma became symptomatic after adopting a more physically active lifestyle. Imaging revealed notable findings, with ENT assessment uncovering deep airway extension of the hemangioma, triggering neck discomfort after strenuous activity. The patient had previously been advised to avoid general anaesthesia due to anticipated difficulties with intubation. Subsequent flexible laryngoscopy and CT imaging revealed a greater degree of airway involvement than initially suspected. The article explores the range of management options available for this condition. Remarkably, despite the potential complications, the patient continues to enjoy a good quality of life without requiring medical or surgical intervention.