Surgical management of cicatricial post-scleromatous sub-glottic stenosis

Ahmed, Taha; Fatt-Hi, A.; Kadir, M. Abdel

doi:10.1017/s0022215100091477

Cited by 10 publications

(7 citation statements)

References 13 publications

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“…Granulomatous tissue, crusting and fibrotic scarring are lesions that produce several degrees of airway obstruction and cosmetic deformity, so that surgical therapy is indicated in some cases 36 . Surgical procedures must be postponed until no residual disease activity is evident in the tissues to be debrided; otherwise there is high risk of relapse or iatrogenic dissemination 22 .…”

Section: Discussionmentioning

confidence: 99%

Rhinoscleroma: eight Peruvian cases

Maguiña¹,

Cortez-Escalante

Osores-Plenge³

et al. 2006

Rev. Inst. Med. trop. S. Paulo

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Rhinoscleroma is a rare infection in developed countries; although, it is reported with some frequency in poorer regions such as Central Africa, Central and South America, Eastern and Central Europe, Middle East, India and Indonesia. Nowadays, rhinoscleroma may be erroneously diagnosed as mucocutaneos leishmaniasis, leprosy, paracoccidioidomycosis, rhinosporidiasis, late syphilis, neoplasic diseases or other upper airway diseases. From 1996 to 2003, we diagnosed rhinoscleroma in eight patients attended in the Dermatologic and Transmitted Diseases service of "Cayetano Heredia" National Hospital, in Lima, Peru. The patients presented airway structural alterations producing nasopharyngeal, oropharyngeal and, in one patient, laryngeal stenosis. Biopsy samples revealed large vacuolated macrophages (Mikulicz cells) in all patients. Ciprofloxacin 500 mg bid for four to 12 weeks was used in seven patients and oxytetracycline 500 mg qid for six weeks in one patient. After follow-up for six to 12 months the patients did not show active infection or relapse, however, all of them presented some degree of upper airway stenosis. These cases are reported because of the difficulty diagnosing the disease and the success of antibiotic treatment.

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Section: Discussionmentioning

confidence: 99%

Rhinoscleroma: eight Peruvian cases

Maguiña¹,

Cortez-Escalante

Osores-Plenge³

et al. 2006

Rev. Inst. Med. trop. S. Paulo

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“…In a comprehensive radiographic study of 342 cases of scleroma in which the nose was affected in 329 cases (Shehata et al, 1975) the palatal sign appears clearly in the only two figures showing lateral views of the postnasal space. In the report by Taha et al (1981), the characteristic palatal deformity is clearly identifiable in the only figure showing a lateral view of the postnasal space. In the report by Dawlatly et al (1988), the palatal sign is also seen in the only lateral projection of the postnasal space, it also forms part of the population of this study.…”

Section: Discussionmentioning

confidence: 92%

Radiological diagnosis of rhinoscleroma—the ‘Palatal Sign’

Dawlatly

1991

J. Laryngol. Otol.

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“…The management of scleromatous cicatricial lesions of the lower respiratory tract may involve periodic endoscopic dilatations (Tapia-Acufia, 1973), laser excision (Williams et al, 1982) or surgical resection and reconstruction of the involved segments of larynx and trachea (Tahae/ al., 198r;Rifai, 1989). The long-term use of intraluminal stents has been considered necessary when reconstructive surgery is used in the treatment of scleromatous laryngotracheal stenosis (Tapia-Acuna, 1973;Holinger et al, 1977;Taha et al, 1981) because residual or recurrent activity of the disease may be a setback for an initially successful surgery (Rifai, 1989).…”

Section: Discussionmentioning

confidence: 99%