2006
DOI: 10.1017/s0022215106000399
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Acute epiglottitis in adults: a recent experience with 10 cases

Abstract: The rising incidence of acute epiglottitis in the adult population mandates vigilance on the part of the otolaryngologist. Selective airway intervention is recommended for patients with airway obstruction of more than 50 per cent.

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Cited by 45 publications
(26 citation statements)
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“…First, an intravenous line should be established, and the patient should be monitored to assess oxygen saturation, cardiac, and vital findings. The most important step in this treatment is to maintain the airway (3,4,12). Therefore, two of our patients underwent tracheostomy, and one patient was intubated.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…First, an intravenous line should be established, and the patient should be monitored to assess oxygen saturation, cardiac, and vital findings. The most important step in this treatment is to maintain the airway (3,4,12). Therefore, two of our patients underwent tracheostomy, and one patient was intubated.…”
Section: Discussionmentioning
confidence: 99%
“…The most common symptoms of acute epiglottitis in adults are odynophagia, difficulty in swallowing secretions, increased oral saliva, sore throat, dyspnea, muffled voice, and stridor (2)(3)(4). Although epiglottitis is mainly caused by bacterial infections, noninfectious agents such as viral, caustic, and thermal injuries can also be causes (5-7).…”
Section: Introductionmentioning
confidence: 99%
“…Previous studies have demonstrated that 8% to 39% of patients with supraglottitis require airway management [1][2][3]6,[14][15][16][17][18]. In our study, the physicians secured the airways of 26% of the patients in the ED; and no further airway managements were required during hospitalization.…”
Section: Discussionmentioning
confidence: 69%
“…The strategy for airway management for adult supraglottitis patients remains controversial because there are no reliable predictors of sudden airway obstruction in these patients [4,[14][15][16][17][18]. Previous studies have demonstrated that 8% to 39% of patients with supraglottitis require airway management [1][2][3]6,[14][15][16][17][18].…”
Section: Discussionmentioning
confidence: 99%
“…2,3 However, since the introduction of the Haemophilus influenzae type b vaccination the prevalence of this disease has decreased dramatically in children, and it is now more common in adults. [4][5][6][7] Supraglottitis is thought to follow a more benign course in adults, although the insidious onset and nonspecific symptoms which can occur in adults may lead to a delay in diagnosis and the development of complications. 7 The most important complication is upper airway obstruction, which is potentially life-threatening and has been extensively discussed in the literature.…”
Section: Introductionmentioning
confidence: 99%