A Case of Acute Epiglottitis Causing Rapidly Progressive Airway Stenosis

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  • 輪状甲状膜切開による気道確保で救命し得た急性喉頭蓋炎の1例
  • 症例 輪状甲状膜切開による気道確保で救命し得た急性喉頭蓋炎の1例
  • ショウレイ リンジョウ コウジョウマク セッカイ ニ ヨル キドウ カクホ デ キュウメイシエタ キュウセイ コウトウガイエン ノ 1レイ

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Abstract

Acute epiglottitis is a serious disease because of its potential for sudden fatal obstruction. We reported a case of acute epiglottitis that demonstrated airway obstruction 5 minutes after coming to the hospital. The patient underwent emergency cricothyrotomy and was successfully resuscitated, however subglottic stenosis ensued in 4 days after the cricothyrotomy. Cricothyrotomy is effective when a patient has rapidly progressive stenosis in the upper airway, but has high risk of complications post-operatively. To avoid such outcome, proper examination and properly timed restoration of the airway by tracheotomy or tracheal intubation are required with acute epiglottitis.

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