2021•Journal of Laryngology and VoiceRequires access

Acquired subglottic stenosis in a child

Prasanna Kumar Saravanam, Sudhagar Eswaran, Nufra Senopher Zaffrullah

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Abstract

The most common benign cause of laryngotracheal stenosis is postintubation injury caused by mechanical ventilation in intensive care units. The incidence of postintubation laryngotracheal stenosis in pediatric population is found to be 11.3%. In this report, we present a case of Soft Subglottic Stenosis(SGS) following recurrent intubation in a 3 year old child. Elective tracheostomy and serial dilatation with tracheal intubation stylets was performed which resulted in significant improvement of airway and the child was successfully decannulated. This case report highlights the importance of high index of suspicion in diagnosis of postintubation SGS in a child and reviews the literature in regard to challenges that are faced during evaluation and management of children presenting with stridor.

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What this paper is about

The most common benign cause of laryngotracheal stenosis is postintubation injury caused by mechanical ventilation in intensive care units. The incidence of postintubation laryngotracheal stenosis in pediatric population is found to be 11.3%. In this report, we present a case of Soft Subglottic Stenosis(SGS) following recurrent intubation in a 3 year old child. Elective tracheostomy and serial dilatation with tracheal intubation stylets was performed which resulted in significant improvement of airway and the child was successfully decannulated. This case report highlights the importance of high index of suspicion in diagnosis of postintubation SGS in a child and reviews the literature in regard to challenges that are faced during evaluation and management of children presenting with stridor.

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Available abstract

The most common benign cause of laryngotracheal stenosis is postintubation injury caused by mechanical ventilation in intensive care units. The incidence of postintubation laryngotracheal stenosis in pediatric population is found to be 11.3%. In this report, we present a case of Soft Subglottic Stenosis(SGS) following recurrent intubation in a 3 year old child. Elective tracheostomy and serial dilatation with tracheal intubation stylets was performed which resulted in significant improvement of airway and the child was successfully decannulated. This case report highlights the importance of high index of suspicion in diagnosis of postintubation SGS in a child and reviews the literature in regard to challenges that are faced during evaluation and management of children presenting with stridor.

Key concepts: Subglottic stenosis, Medicine, Stenosis, Radiology

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