ABSTRACT
Objective@#The aim of this study is to o explore the diagnosis, treatment and prognosis of idiopathic subglottic stenosis （ISS） @*Method@#The clinical data of 15 patients with idiopathic subglottic stenosis treated in our department were analyzed retrospectively. The degree of stenosis was classified by the Cotton Airway grading system of Myer, with 8 cases of gradeⅡ, 4 cases of grade Ⅲ and 3 cases of grade Ⅳ. @*Result@#The time of follow-up of HTSS was 0.5-10 years. All 15 patients were successfully extubated without asphyxia, decannulation and wound nonunion. @*Conclusion@#For patients with idiopathic subglottic stenosis in the non-progressive stage, active surgical treatment strategy should be adopted and treated individually. The prognosis is satisfactory.
ABSTRACT
The aim of this study is to o explore the diagnosis, treatment and prognosis of idiopathic subglottic stenosis （ISS） The clinical data of 15 patients with idiopathic subglottic stenosis treated in our department were analyzed retrospectively. The degree of stenosis was classified by the Cotton Airway grading system of Myer, with 8 cases of gradeⅡ, 4 cases of grade Ⅲ and 3 cases of grade Ⅳ. The time of follow-up of HTSS was 0.5-10 years. All 15 patients were successfully extubated without asphyxia, decannulation and wound nonunion. For patients with idiopathic subglottic stenosis in the non-progressive stage, active surgical treatment strategy should be adopted and treated individually. The prognosis is satisfactory.
ABSTRACT
Objective:To investigate the clinical diagnosis and treatment of idiopathic subglottic stenosis.Methods:From May 2012 to January 2014,four patients with idiopathic subglottic stenosis admitted in the Department of Otolaryngology,the Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing,Jiangsu,China were selected for review.Results:All the four patients with idiopathic subglottic stenosis were resolved after the resection of the pathological tissues and subsequent hormone treatment.Conclusions:The confirmed diagnosis of idiopathic subglottic stenosis mainly relied on the medical history and pathological examination.Favorable treatment effects might be obtained by combining surgical resection and hormone treatment.
ABSTRACT
La estenosis subglótica es un estrechamiento de la luz laríngea a nivel del cartílago cricoides en la vía aérea superior. Existen múltiples causas, dividiéndose la etiología principalmente en estenosis traumática y no traumática. La estenosis subglótica idiopática (ESI) es una rara entidad de etiología desconocida, cuya incidencia no ha sido establecida hasta el momento. Se ha visto mayor prevalencia en mujeres jóvenes (30 y 40 años). La manifestación clínica más importante es la disnea y el estridor que se correlacionan con el grado de estenosis. Para poder abordar una terapéutica adecuada es necesario descartar el resto de las etiologías mediante examen físico, estudios complementarios y fundamentalmente con la histología para poder abordar una terapéutica adecuada. El tratamiento de la estenosis subglótica en caso de ser idiopática es la dilatación localizada mediante láser, reconstrucción traqueal o dilatación con balón. Presentamos un caso de una mujer joven con estridor como síntoma principal y con diagnóstico final de estenosis subglótica idiopática, así como revisión de literatura.
Idiopathic subglottic stenosis is a narrowing of the larynx at the cricoid cartilage level with unknown etiology. There are multiple causes, but its etiology can be mainly divided into traumatic and non traumatic stenosis. It is a rare condition for which the real incidence has never been established due to the difficulty of making the diagnosis. There is a preponderance of young females affected between 30-40 years old. Its development in adult patients shows clinical signs such as stridor and progressive dyspnea. The diagnosis is established by the histological study. All the other causes of tracheal stenosis should be excluded before initiating the appropriate treatment. The tracheal stenosis is managed by means of endobronchial laser therapy, laryngotracheal reconstruction or bronchoscopic dilatation. We present a case of a young woman with stridor as the only symptom and a final diagnosis of idiopathic subglottic stenosis. The literature is reviewed.