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Congenital Subglottic Stenosis
Congenital subglottic stenosis

Presentation

[…] if the condition was present at the time of inpatient admission. [icd.codes]

However, infants with congenital subglottic stenosis may have surprisingly few symptoms—even grade III subglottis stenosis may not present for weeks or months. [aibolita.com]

Three patients with congenital subglottic stenosis are presented and whole organ serial-section studies of their larynges are discussed. A superiorly displaced first tracheal ring is observed to form a cartilaginous subglottic stenosis in one. [ncbi.nlm.nih.gov]

On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are [icd10data.com]

Entire Body System

  • Recurrent Upper Respiratory Infection

    A mild case of subglottic stenosis may produce a clinical picture of recurrent upper respiratory infections, often diagnosed as croup, in which minimal glottic swelling precipitates airway obstruction. [aibolita.com]

Skin

  • Hair Hypoplasia

    This constellation of abnormalities is distinct from other described skeletal dysplasias associated with immunodeficiency such as ADA deficiency and cartilage hair hypoplasia. [ncbi.nlm.nih.gov]

Workup

Flexible examination of the dynamic larynx is essential in the workup of a child with possible upper airway pathology. However, it is insufficient to assess the nature and extent of a subglottic stenosis. [childrensenthouston.com]

[…] for all cases of SGS have been prescribed as an essential step in the management of those children. [9] Despite the lack of definitive evidence for a cause and effect relationship between GER and SGS, Cotton and O'Connor [10] stated that, a "reflux workup [saudija.org]

WORKUP Lab Studies: Specific laboratory studies are not required. Imaging Studies: The criterion standard for evaluation of the airway is direct laryngoscopy and direct bronchoscopy. [tracheostomy.com]

Treatment

Rhinosinusitis in Children 307 Morphogenesis Epidemiology and Pathophysiology 308 Classification and Definitions 310 Chronic Rhinosinusitis 311 Diagnosis 312 Respiratory Allergy 313 Therapeutic Management 314 Additional Medical Therapy 316 Surgical Treatment [books.google.com]

Endoscopic excision, dilatation and stenting were techniques utilized in the treatment of these stenotic lesions. The extubation technique utilized is described. [ncbi.nlm.nih.gov]

Treatments, when needed, depend on the problem. [icdlist.com]

Disease homogeneity and treatment heterogeneity in idiopathic subglottic stenosis. [mayoclinic.pure.elsevier.com]

Prognosis

Most patients with congenital esophageal atresia (EA) have congenital tracheobronchial abnormalities, which may cause respiratory distress, be difficult to treat and have a poor prognosis. [ncbi.nlm.nih.gov]

Croup is usually self-limiting and has a good overall long-term prognosis. [radiopaedia.org]

Laryngomalacia, tracheomalacia, bronchomalacia, subglottic stenosis, and restrictive lung disease may worsen the anesthesia management and prognosis. There were also cases of subglottic stenosis, head injury, and others. [freethesaurus.com]

[…] formation • Bleeding/hematoma • Subcutaneous emphysema • Pneumothorax and/or pneumomediastinum • Stent problems (eg, migration, breakage) • Reformation of stenosis • Injury to recurrent or superior laryngeal nerves • Airway obstruction • Death Outcome and Prognosis [healthunlocked.com]

OUTCOME AND PROGNOSIS The outcome of laryngotracheal reconstruction depends on its grade and the procedure performed. [tracheostomy.com]

Etiology

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

The etiology of this condition and the differential diagnosis are discussed. [ncbi.nlm.nih.gov]

[…] hypopharyngeal, Supraglottic and Subglottic Stenosis after 1-Week Intubation Discipline: Health, Science Abstract: Laryngeal stenosis is a partial or complete narrowing of the endolarynx and has many etiologies. [ejournals.ph]

Unknown etiology and low disease prevalence have limited the ability to characterize the natural history of iSGS and resulted in variability in surgical management. It is uncertain how this variation relates to clinical outcomes. [mayoclinic.pure.elsevier.com]

Epidemiology

Decannulation 252 Recurrent Respiratory Papillomatosis 255 Historical Perspective 256 Epidemiology 258 Disease Progression and Complications 259 Managing RRP in Children 260 AnesthesiaAirway Management Techniques 261 Adjuvant Medical Therapy 262 Photodynamic [books.google.com]

INTRODUCTION: This study aimed to examine the epidemiology and outcome of subglottic stenosis in infants and children, and to evaluate the current techniques used in its diagnosis and management at the KK Women's and Children's Hospital, Singapore. [ncbi.nlm.nih.gov]

Congenital Subglottic Stenosis Epidemiology Congenital SGS the third most common cause of neonatal stridor, and is thought to represent between 5 and 15 % of airway malformations [ 25, 26 ]. [entokey.com]

Epidemiology Frequency The frequency of congenital subglottic stenosis (SGS) is unknown. The incidence of acquired subglottic stenosis (SGS) has greatly decreased over the past 40 years. [emedicine.medscape.com]

Pathophysiology

RRP in Children 260 AnesthesiaAirway Management Techniques 261 Adjuvant Medical Therapy 262 Photodynamic Therapy 263 Pharynx and Oesophagus 266 Ontogeny of Oesophageal Motor Function 269 The Oesophageal Phase 270 Oesophageal Sphincter Physiology 271 Pathophysiology [books.google.com]

[…] features obtained with OCT with physiologic and functional variables such as gestational age, weight, and number of failed extubations in order to identify variables that can be used to better predict successful airway extubation, monitor progression of pathophysiologic [grantome.com]

The causes of subglottic stenosis may be divided into congenital or acquired lesions, and these will be considered separately because of the differences in pathophysiology, evaluation, and treatment of each. [virtualpediatrichospital.org]

Pathophysiology Congenital stenosis has two main types, membranous and cartilaginous. In membranous stenosis, fibrous soft tissue thickening is caused by increased connective tissue or hyperplastic dilated mucus glands with absence of inflammation. [healthunlocked.com]

[…] intubation, found that the percentage of COMFORT behavior (COMFORT-B) scale scores between 23 and 30 (indicating undersedation) was greater in children with subglottic stenosis than in children without the condition (15.8% vs 3.65%, respectively). [10] Pathophysiology [emedicine.medscape.com]

Prevention

Partial resection of the hypertrophic cricoid cartilage is considered effective in preventing restenosis. [ncbi.nlm.nih.gov]

Prevention of post-intubation subglottic stenosis is possible through a better management of the EI and of the child with a tracheal tube. [minervamedica.it]

The ability to better treat and even prevent subglottic stenosis has improved with technical advances in neonatal intensive care, but diagnosis remains a source of continued controversy and debate. [grantome.com]

Endoscopic guidance can help in preventing injury to the glottic larynx. [tracheostomy.com]

Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] Throat Disorders Also called: Pharyngeal disorders Your throat is a tube that carries food to your esophagus and air to your windpipe and larynx. [icdlist.com]

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