A case of idiopathic tracheal stenosis

Apostolova, Mariya; Zeidan, Bashar

doi:10.1016/j.rmcr.2013.05.002

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Indications for invasive surgical procedures generally are failure of endoscopic approaches ( 2 , 4 , 7 , 9 – 11 , 61 ). Several surgical techniques are used, such as single-stage cricotracheal resection according to Grillo ( 8 , 11 , 13 , 61 ), cricoplasty with plastic reconstruction of the mucosa, and a combination of resection and enlargement using cartilage grafts from ribs ( 7 , 65 ).…”

Section: Reviewmentioning

confidence: 99%

Case report: Idiopathic subglottic stenosis in a girl; successful treatment with macrolides

et al. 2022

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An 8-year-old girl presented with treatment-refractory cough and inspiratory stridor. Bronchoscopies showed progressive scarring leading to narrowing of the proximal trachea (Myer-Cotton Grade 2) and epithelial metaplasia of the tracheal and bronchial mucosa. After excluding other causes of congenital and acquired tracheal stenosis, an idiopathic subglottic tracheal stenosis (iSGS) was diagnosed. Because of the patient's young age, a judicious therapeutic approach seemed appropriate. Therapy with azithromycin, followed by roxithromycin, was started. Symptoms almost completely subsided, spirometry normalized, and endoscopic and histologic findings improved considerably. Therapy has been continued for more than 3 years with normal lung function values, and no compromise on physical activities and development. In instances of iSGS, therapy with macrolides is worth considering before more invasive procedures such as dilatation, laser, intralesional injections, or surgical resection are performed.

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Section: Reviewmentioning

confidence: 99%

Case report: Idiopathic subglottic stenosis in a girl; successful treatment with macrolides

et al. 2022

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“…This can be further investigated with spirometry to determine the characteristic flow volume loops that would differentiate asthma from upper airway-narrowing pathologies like tracheal stenosis, laryngeal neoplasms and laryngeal foreign body impaction. With the characteristic flattening of the flow-volume loop in spirometry, 16 asthma can be ruled out and investigation for obstruction via direct visualization of the airways using fiberoptic laryngobronchoscopy should be performed.…”

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confidence: 99%

A 15-Year Occult Foreign Body in the Subglottic Area of A 50-Year-Old Woman

Segocio¹,

Dayanghirang²,

Cachuela³

2016

Philipp J Otolaryngol Head Neck Surg

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Objective: To present a case of subglottic foreign body (FB) impaction in a 50-year-old woman diagnosed with bronchial asthma for 15 years. Methods: Design: Case Report Setting: Tertiary Public Hospital Patient: One Results: A 50-year-old woman with recurrent cough and dyspnea for 15 years that had been managed as bronchial asthma, developed stridor and halitosis in the last 5 years. Flexible laryngoscopy revealed a subglottic mass and CT scan confirmed a suspicious foreign body in the lumen of the subglottis. Signs and symptoms resolved after peroral endoscopic removal of the foreign body from the larynx. Histopathology of the extracted material from the airway confirmed it to be “bone tissue.” Conclusion: Foreign body aspiration can occur in adults without predisposing factors. Its diagnosis can be challenging as it can mimic respiratory disorders such as bronchial asthma. Endoscopy and computed tomography are valuable for correct diagnosis and management. An incorrect initial diagnosis should be considered in the light of unresolved symptoms and prompt referral to an appropriate specialist may prevent undue suffering and dangerous complications. Keywords: foreign body aspiration, occult airway foreign body

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