Be sure you are treating asthma

Lastra, L. Prieto; Pimiento, A. Pérez; Sánchez, Luis A.; Mosquera, M. Rodríguez; Cubero, A. García

doi:10.1016/s0301-0546(06)73528-5

Cited by 7 publications

(3 citation statements)

References 5 publications

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“…Patients with less serious disease who are diagnosed by pulmonologists at local hospitals may not have been referred to our center, and were thus not included. Delays in diagnosis of ISS are common: the majority of patients are first given a diagnosis of asthma and may be treated with inhalation steroids for a long time before being referred to an ear, nose and throat department [2, 9, 10]. Flexible laryngotracheoscopy is required to make the correct diagnosis at an early stage.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic subglottic stenosis: an epidemiological single-center study

Aarnæs

Sandvik

Brøndbo

2017

Eur Arch Otorhinolaryngol

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A retrospective epidemiological study of patients treated for idiopathic subglottic stenosis (ISS) during 2003–2013 at Oslo University Hospital, Rikshospitalet, was undertaken to assess its incidence, management and treatment outcomes. Out of a total of 123 patients with subglottic stenosis (84 female, 39 men), 38 patients were diagnosed with ISS, all of whom were female. Of these, 23 lived in the South-Eastern Norway Regional Health Authority, representing an incidence of 0.2 per 100,000 (95% CI 0.13–0.3) in this region of 2.9 million inhabitants. Mean age at diagnosis was 54 years (range 20–85 years), and the mean interval between symptom onset and diagnosis was 3.1 years. The 38 patients with ISS underwent a total of 132 operations between 2003 and 2013. All patients were managed endoscopically using laser surgery, with or without corticosteroids and Mitomycin C, with dilatation by balloon or bougie. Eight patients (21.1%) required only one procedure, while 30 patients (78.9%) had multiple operations. The median follow-up for all patients from the first operation was 5.3 years. The mean interval between procedures was 1 year for patients aged 20–48 years, 1.3 years for patients aged 49–61 years and 3.0 years for patients aged 62–85 years. No clinically significant complications were observed. In conclusion, the symptoms of ISS can be treated effectively with laser surgery and dilatation but the recurrence rate remains high and the time interval between operations does not increase with time, making ISS a continuing challenge.

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Section: Discussionmentioning

confidence: 99%

Idiopathic subglottic stenosis: an epidemiological single-center study

Aarnæs

Sandvik

Brøndbo

2017

Eur Arch Otorhinolaryngol

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“…Vascular rings [35] -Double aortic arch [44][45][46][47][48][49][50][51][52][53][54] -Right-sided double aortic arch and descending aorta [55] -Double aortic arch with Kommerell's diverticulum [63] -Left aortic arch with right ligamentum arteriosum and right descending aorta [33] with aberrant right subclavian artery [36] with aberrant right subclavian artery and Kommerell's diverticulum [38] -Right aortic arch [64] with aberrant left subclavian artery and left ligamentum arteriosum [36,39,43] with aberrant left subclavian artery and Kommerell's diverticulum [38,[40][41][42][43] -Pulmonary artery sling [56][57][58] Congenital aortic arch anomaly -Kommerell's diverticulum [21,22,[59][60][61] -Cervical aortic arch aneurysm [62] Congenital innominate artery anomaly -Anomalous innominate artery [65] Congenital heart diseases Pulmonary atresia and major aortopulmonary collateral arteries in Tetralogy of Fallot [32] Atrial septal defect [66] CAO, central airway obstruction.…”

Section: Congenital Vascular Anomaliesmentioning

confidence: 99%

“…Patients with vascular CAO may present with asthma-like symptoms but have poor response to the standard therapy of asthma [33,39,41,52,58,94]. In this situation, pulmonary function is helpful to differential diagnosis.…”

Section: Clinical Manifestations Of Vascular Caomentioning

confidence: 99%

Airway management in vascular central airway obstruction: a literature review

Lee¹,

Chao²,

Hung³

et al. 2021

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Vascular central airway obstruction (CAO) is a rare cause of upper airway obstruction in adults. CAO occurs below the level where it is invisible in a laryngoscope. Doctors therefore should pay attention to the possibilities of vascular CAO when attempting to prevent and resolve catastrophic complications from upper airway obstruction such as cardiorespiratory collapse and hemoptysis, which requires a thoughtful preoperative planning of airway management before starting a surgical reconstruction.

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