Subglottic stenosis secondary to Wegener‘s granulomatosis. A case report and literature review

Abstract

Wegener's granulomatosis is a autoimmune systemic disease with numerous upper respiratory tract manifestations. Among these, subglottic stenosis represents a potentially lethalcomplication. Its diagnosis is complicated by the fact that it develops independently from the systemic disease, as it is mainly based on endoscopic examination. Treating subglottic stenosis in patients suffering from Wegener‘s granulomatosis is complex, it often requires repeated interventions due to restenosis. There is no current consensus on the most adequate surgical technique, and thus it must be evaluated and decided on a case-to-case basis. We present the case of a subglottic stenosis and Wegener‘s granulomatosis patient from our department. In addition, we reviewed the literature, emphasizing treatment alternatives.