Subglottic stenosis: Case report
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Keywords
Subglottic stenosis, percentage of decannulation, bronchoscopic dilatation, laryngotracheal resection
Abstract
Introduction: Subglottic stenosis (SE) pose a constant clinical challenge because it’s high morbidity and mortality, diversity of causes, location, severity and variety of treatment procedures. Aim: Determine the profile of patients with SE and evaluate the treatment and its results. Material and method: Retrospective descriptive study by reviewing medical records of patients with SE between 2008 and 2011. Demographic characteristics, risk factors, symptoms, type and degree of stenosis, treatment, decannulation percentage and com- plications were described. Results: 17 adult patients were included. Average age: 51 ± 14.37 years. Sex: 70.6% female and 29.4% male. The main symptom was dyspnea (76.5%). The SE with only soft tissue involvement (88.2%) and grade III severity were predominant. For treatment endoscopic procedures (47%) and open surgery were used (41%). Open surgical technique as unique treatment or as a second step, was less successful compared to endoscopic treatment. Bronchoscopic dilatation had a success rate of 63%. The overall decannulation rate was 58.8%. Conclusions: The SE is a complex pathology. The low rate of suspicion, nonspecific symptoms and delay in medical consultation requires the creation of multidisciplinary teams for diagnosis and management.
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