A Case Report of the Idiopathic Glanulomatous Subglottic Stenosis.

DOI 6 Citations
  • Hisa Yasuo
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • Toyoda Kenji
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • Sonoda Takao
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • Shindo Masahiko
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • Uno Toshiyuki
    Department of Otolaryngology, Kyoto Prefectural University of Medicine
  • Sugahara Motoo
    Department of Otolaryngology, The Second Okamoto General Hospital
  • Murakami Yasushi
    Department of Otolaryngology, Kyoto Prefectural University of Medicine

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Other Title
  • 特異な像を呈した声門下肉芽性狭窄の一治験例

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Abstract

We report the clinical course of a severe case of idiopathic granulomatous subglottic stenosis and present a treatment protocol.<BR>A 25-year-old male complained of cough, occasional dyspnea and hoarseness. Fiberscopic examination revealed a large subglottic reddish brown tumor with a rough surface. Vocal cord mobility was normal and neck examination revealed no lymphadenopathy. Tomography and CT confirmed the presence of the mass occupying the majority of the subglottic space with no evidence of cricoid cartilage, tracheal ring or thyroid gland extension. Biopsy results performed under laryngomicrosurgery were consistent with granulomatous disease.<BR>Under general anesthesia, the cricoid cartilage and first tracheal ring were incised exposing the tumor within the lumen, which was removed by curettage. The eroded surface was cauterized with the CO2 LASER. A silicon tube was then positioned within the subglottic and tracheal lumen as a stent after which the cut ends of the cricoid cartilage and tracheal rings were reapproximated. On the 18th postoperative day, the silicon stent was removed and replaced with a T-tube. On the 48th postoperative day, the T-tube was removed. The stoma was closed on the 55th postoperative day.<BR>Follow up one and a half years after the initial surgery showed the patient to have a normal voice and no evidence of recurrent disease.

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