Cover Image

SUBGLOTTIC STENOSIS - A CASE REPORT

VIJAY BABU D

Abstract


There are many causes for noisy breathing in a child. Any site in the upper airway can become obstructed and cause noisy breathing as well as dyspnea. These include nasal causes such as choanal atresia or nasal stenosis,  pharyngeal causes including lingual thyroid, laryngeal causes such as laryngomalacia and subglottic stenosis, and              tracheobronchial causes such as tracheal stenosis. Subglottic stenosis is the third leading cause of congenital stridor in the neonates. Most cases are self limited, but some require          intervention that requires a multidisciplinary approach, with the ENT surgeon taking a primary role. A case of subglottic stenosis is presented here. A 3 years old female child              presented with stridor which worsened on exertion. She was diagnosed as subglottic stenosis and was managed with  coblation excision of the lesion. This case of subglottic                  stenosis is presented for its rarity and the new minimally  invasive approach using coblation in management.

 


Full Text:

PDF

References


Bath AP, Panarese A, Thevasagayam M, Bull PD. Paediatric subglottic stenosis. Clinical Otolaryngol 1999; 24(2):117-121

Mueller, CD “Subglottic Stenosis” Grand Rounds UTMB Department of Otolaryngology. 2002.

Nitin et al, “The workup of stridor: virtual bronchoscopy” Respiratory Care March 2007. Vol 52 No 3.

Myer CM, O’Connor DM, Cotton RT. Proposed Grading System for Subglottic Stenosis Based on Endotracheal Tube Sizes. Ann Otol Rhinol Laryngol 1994; 103:319

McCaffrey TV. Classification of laryngotracheal stenosis. Laryngoscope1992:102:335-340

Cable et al. Pediatric airway reconstruction: Principles in decision-making and outcomes at The University of Iowa Hospitals and clinics. Ann Otolo Rhinol Laryngol 113:2004; 289-293

Cotton RT, O'Connor DM. Paediatric laryngotracheal reconstruction: 20 years experience. Acta Otorhinolaryngol Belg 1995; 49:367-372

Fayou et al. “Thyroid alar cartilage in paediatric LTR.” International Journal of Pediatric Otorhinolaryngology 2006; 70, 717-724.

Gustafson et al. “SSLTR in children: a review of 200 cases. Otol Head and Neck; Vol.123;4 430- 434, 2000

Monnier PM et al. Cricotracheal resection for adult and pediatric subglottic stenoses: similarities and differences. Operative Techniques in Otolaryngol Head Neck Surg 1999; 10(4): 311-315

White et al. “Pediatric cricotracheal resection.” Arch Otolaryng Head Neck; Oct. 2005 Vol. 131


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University