Presentation
[…] if the condition was present at the time of inpatient admission. [icd.codes]
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]
The succesful management of this unusual case of severe extrinsic compression with concurrent internal airway obstruction is presented. Key words: Sublottic stenosis; Cystic hygroma; Respiratory distress. [scopemed.org]
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]
Entire Body System
- Collapse
More than 30 new chapters are included that reflect advances in the field, such as outcomes and evidence-based medicine, surgical management of nasal valve collapse and choanal atresia, immunology and allergy, allergic and non-allergic rhinitis, complications [books.google.de]
The cartilage then shows necrosis and collapses. The final result of this process is a weak cartilage framework and a firm scar narrowing the subglottic airway. [saudija.org]
Visualization also reveals inward collapse of the aryepiglottic folds (cuneiform cartilages) on inspiration and bulky arytenoids that prolapse on inspiration (1). Management is expectant with simple reassurance for parents. [hawaii.edu]
Another major cause of revision surgery was peristomal tracheomalacia or suprastomal collapse. This condition was associated with decannulation failure because of tracheal collapse during spontaneous respiration. [academic.oup.com]
Often, if the collapse or scar extends into the area of the tracheotomy site, longer-term stent placement is required with an Aboulker stent that is attached to a metal Holinger tracheotomy tube with wire (see Picture 23, Picture 24 ) or a Montgomery [tracheostomy.com]
- Pathologist
The Mott Team of Speech Language Pathologists: Lynn Driver Erica Osborne [mottchildren.org]
Respiratoric
- Respiratory Distress
The authors report a neonate with EA and congenital subglottic stenosis (SGS) who exhibited severe respiratory distress immediately after birth. [ncbi.nlm.nih.gov]
Key words: Sublottic stenosis; Cystic hygroma; Respiratory distress. [scopemed.org]
Subglottic stenosis is a narrowing of the endolarynx and one of the most common causes of stridor and respiratory distress in children. [arquivosdeorl.org.br]
Respiratory distress is one of the commonest cause of admission into a Neonatal Intensive Care Unit, be it surgical or medical in nature. Adequate and prompt resuscitation as well as intubation can be life saving. [scienceopen.com]
Bellamy The adult respiratory distress syndrome cognitive outcomes study: long-term neuropsychological function in survivors of acute lung injury [3] National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials [jped.elsevier.es]
- Inspiratory Stridor
CONCLUSION: Without any surgical intervention all had normal breathing at rest, but inspiratory stridor during respiratory infections and upon physical exercise at follow-up 4-9 y later. [ncbi.nlm.nih.gov]
This report describes two pairs of siblings referred for acute inspiratory stridor in whom subglottic stenosis was diagnosed by endoscopy. They were all born at term, and their parents were unrelated. [ingentaconnect.com]
Clinically it presents with protracted barking cough and inspiratory stridor due to mucosal edema resulting in tracheal narrowing. Plain radiograph Plain radiographs are not always required, as the diagnosis is often made clinically. [radiopaedia.org]
Classically, the stridor in laryngomalacia is: a) inspiratory. ... b) expiratory. ... c) biphasic 3. [hawaii.edu]
If the cause is endotracheal intubation, the child may present with inspiratory stridor just a few hours after extubation. [virtualpediatrichospital.org]
Gastrointestinal
- Choking
Your child: Has problems keeping food down and spits it up all the time Is losing weight or is not gaining weight Begins to feed less and tires easily in the middle of feeding Begins to choke on food Struggles between eating and breathing Take your child [cincinnatichildrens.org]
Urogenital
- Cesarean Section
In case we experienced was a female full-term baby delivered by Cesarean section. The stenosis was believed by hypertrophy of stromal soft tissue and cricoid cartilage in the subglottic area. [jpatholtm.org]
Neurologic
- Paresis
Vocal cord paralysis/paresis – usually caused by an injury or lesion in the nerve to the vocal cord (the recurrent laryngeal nerve), or affecting central nervous system controls for voice production. [mottchildren.org]
Hoarseness or vocal weakness also can be associated with glottic stenosis and vocal cord paresis or paralysis. Always ask about a history of recurrent croup. [emedicine.medscape.com]
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]
X-Ray
- Subglottic Narrowing
Subglottic stenosis (SGS) is a narrowing of the airway below the vocal cords (subglottis) and above the trachea. Subglottic stenosis will involve narrowing of the cricoid, the only complete cartilage ring in the airway. [chop.edu]
Under the same anesthetic, a balloon dilatation of the subglottic narrowing to 12 mm under a pressure of 3 atmospheres and to 15 mm under a pressure of 8 atmospheres was performed, resulting in noticeable improvement of the subglottic narrowing. [hoajonline.com]
Simple neck X-rays can also detect SGS, and are often used to diagnose the acute subglottic narrowing seen in croup. [entokey.com]
Evaluation of the child with possible congenital subglottic stenosis may include the use of endolateral neck x-rays to look for narrowing in the subglottic region. [virtualpediatrichospital.org]
A history of recurrent croup may support the diagnosis of congenital subglottic stenosis. Subglottic narrowing may be noted on plain lateral and AP x-rays and the diagnosis is made with rigid bronchoscopy. [hawaii.edu]
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]
Treatments, when needed, depend on the problem. [icdlist.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]
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]
Although the incidence is relatively low, subglottic stenosis is a serious complication of tracheal intubation and all measures to prevent subglottic stenosis should be undertaken. No Reference information available - sign in for access. [ingentaconnect.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]