Subglottic stenosis - Revision history

Rossdonaldson1: /* Background */

2024-01-17T19:42:08Z

Background

← Older revision		Revision as of 19:42, 17 January 2024
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	==Background==		==Background==
			[[File:Cross section of a trachea and esophagus.png\|thumb\|Cross section of a trachea and esophagus anatomy.]]
			[[File:Blausen 0865 TracheaAnatomy.png\|thumb\|Tracheal anatomy.]]
	*A narrowing of the trachea directly inferior to the vocal cords		*A narrowing of the trachea directly inferior to the vocal cords

ClaireLewis at 22:44, 30 September 2019

2019-09-30T22:44:42Z

← Older revision		Revision as of 22:44, 30 September 2019
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	*Idiopathic (more likely to affect females)		*Idiopathic (more likely to affect females)
	*Congenital abnormality in newborns		*Congenital abnormality in newborns
	*Past mechanical trauma to the airway (intubation or surgery)		*Past mechanical trauma to the airway ([[intubation]] or surgery)
	*Autoimmune disorders		*Autoimmune disorders
	*[[Wegener's granulomatosis]]/ GPA - Approximately 36% of patients with GPA develop subglottic stenosis <ref>Taylor SC, Clayburgh DR, Rosenbaum JT, Schindler JS. Progression and management of Wegener's granulomatosis in the head and neck. Laryngoscope 2012; 122:1695.</ref>		*[[Wegener's granulomatosis]]/ GPA - Approximately 36% of patients with GPA develop subglottic stenosis <ref>Taylor SC, Clayburgh DR, Rosenbaum JT, Schindler JS. Progression and management of Wegener's granulomatosis in the head and neck. Laryngoscope 2012; 122:1695.</ref>
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	==Clinical Features==		==Clinical Features==
	*Tachypnea/ [[~~Dyspnea~~]]/ [[~~Hypoxia~~]]		*Tachypnea/ [[dyspnea]]/ [[hypoxia]]
	*Inspiratory [[stridor]]		*Inspiratory [[stridor]]
	*Hoarseness/ ~~Dysphonia~~		*Hoarseness/ [[dysphonia]]
	*Respiratory accessory muscle usage		*Respiratory accessory muscle usage
	*[[Cough]]		*[[Cough]]
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	==Evaluation==		==Evaluation==
	*Direct visualization via scope ~~[[File:Subglottic_stenosis2.jpg]]~~		*Direct visualization via scope
	*CT Neck		*CT Neck

	==Management==		==Management==
	*ENT referral or immediate securing of airway dependent upon respiratory distress		*ENT referral or immediate securing of airway dependent upon respiratory distress
	*Humidified oxygen		*Humidified [[oxygen]]
	*[[Proton pump inhibitor]]		*[[Proton pump inhibitor]]
	*Systemic [[steroids]]		*Systemic [[steroids]]
Line 36:		Line 36:
	Definitive Management:		Definitive Management:
	*Dilation		*Dilation
	*~~Crichotracheal~~ resection		*Cricotracheal resection
	*Tracheotomy		*Tracheotomy

ClaireLewis at 21:14, 11 August 2017

2017-08-11T21:14:25Z

← Older revision		Revision as of 21:14, 11 August 2017
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	*Past mechanical trauma to the airway (intubation or surgery)		*Past mechanical trauma to the airway (intubation or surgery)
	*Autoimmune disorders		*Autoimmune disorders
	*Wegener granulomatosis/ GPA - Approximately 36% of patients with GPA develop subglottic stenosis <ref>Taylor SC, Clayburgh DR, Rosenbaum JT, Schindler JS. Progression and management of Wegener's granulomatosis in the head and neck. Laryngoscope 2012; 122:1695.</ref>		*[[Wegener's granulomatosis]]/ GPA - Approximately 36% of patients with GPA develop subglottic stenosis <ref>Taylor SC, Clayburgh DR, Rosenbaum JT, Schindler JS. Progression and management of Wegener's granulomatosis in the head and neck. Laryngoscope 2012; 122:1695.</ref>
	*Rheumatoid ~~Arthritis~~		*[[Rheumatoid arthritis]]
	*Sarcoidosis		*[[Sarcoidosis]]

	==Clinical Features==		==Clinical Features==
	*Tachypnea/ Dyspnea/ Hypoxia		*Tachypnea/ [[Dyspnea]]/ [[Hypoxia]]
	*Inspiratory [[stridor]]		*Inspiratory [[stridor]]
	*Hoarseness/ Dysphonia		*Hoarseness/ Dysphonia
Line 30:		Line 30:
	*ENT referral or immediate securing of airway dependent upon respiratory distress		*ENT referral or immediate securing of airway dependent upon respiratory distress
	*Humidified oxygen		*Humidified oxygen
	*Proton pump inhibitor		*[[Proton pump inhibitor]]
	*Systemic steroids		*Systemic [[steroids]]
	*Treat underlying disorder if caused by autoimmune disorder		*Treat underlying disorder if caused by autoimmune disorder

Rossdonaldson1: /* Differential Diagnosis */

2017-08-10T11:51:03Z

Differential Diagnosis

← Older revision		Revision as of 11:51, 10 August 2017
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Vocal cord paralysis
	*Subglottic hemangioma
	*Tumor (metastatic, benign airway tumors, primary endoluminal malignancies)
	*Vascular ring
	*Smoke injury
	*Chemical burn
	*Foreign body
	*Tracheal stenosis (not at the subglottic region)
	*Tracheomalacia<ref> Ernst A, Feller-Kopman D, Becker HD, Mehta AC. Central airway obstruction. Am J Respir Crit Care Med 2004</ref>

	{{Stridor DDx}}		{{Stridor DDx}}

Rossdonaldson1: /* Differential Diagnosis */

2017-08-10T11:50:09Z

Differential Diagnosis

← Older revision		Revision as of 11:50, 10 August 2017
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	*Tracheal stenosis (not at the subglottic region)		*Tracheal stenosis (not at the subglottic region)
	*Tracheomalacia<ref> Ernst A, Feller-Kopman D, Becker HD, Mehta AC. Central airway obstruction. Am J Respir Crit Care Med 2004</ref>		*Tracheomalacia<ref> Ernst A, Feller-Kopman D, Becker HD, Mehta AC. Central airway obstruction. Am J Respir Crit Care Med 2004</ref>

			{{Stridor DDx}}

	==Evaluation==		==Evaluation==

Rossdonaldson1 at 11:49, 10 August 2017

2017-08-10T11:49:29Z

← Older revision		Revision as of 11:49, 10 August 2017
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	==Background==		==Background==
	*~~Subglottic Stenosis is a~~ narrowing of the trachea directly inferior to the vocal cords.		*A narrowing of the trachea directly inferior to the vocal cords
	*Causes:
	**Idiopathic (more likely to affect females)		===Causes===
	**Congenital abnormality in newborns		*Idiopathic (more likely to affect females)
	**Past mechanical trauma to the airway (intubation or surgery)		*Congenital abnormality in newborns
	**Autoimmune disorders		*Past mechanical trauma to the airway (intubation or surgery)
	**Wegener granulomatosis/ GPA - Approximately 36% of patients with GPA develop subglottic stenosis <ref>Taylor SC, Clayburgh DR, Rosenbaum JT, Schindler JS. Progression and management of Wegener's granulomatosis in the head and neck. Laryngoscope 2012; 122:1695.</ref>		*Autoimmune disorders
	**Rheumatoid Arthritis		*Wegener granulomatosis/ GPA - Approximately 36% of patients with GPA develop subglottic stenosis <ref>Taylor SC, Clayburgh DR, Rosenbaum JT, Schindler JS. Progression and management of Wegener's granulomatosis in the head and neck. Laryngoscope 2012; 122:1695.</ref>
	**Sarcoidosis		*Rheumatoid Arthritis
			*Sarcoidosis

	==Clinical Features==		==Clinical Features==
	*Tachypnea/ Dyspnea/ Hypoxia		*Tachypnea/ Dyspnea/ Hypoxia
	*Inspiratory stridor		*Inspiratory [[stridor]]
	*Hoarseness/ Dysphonia		*Hoarseness/ Dysphonia
	*Respiratory accessory muscle usage		*Respiratory accessory muscle usage
	*Cough		*[[Cough]]
	*"Tightness" in the neck		*"Tightness" in the neck
	*Patients with history of greater than 1 week of intubation		*Patients with history of greater than 1 week of intubation
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	==Disposition==		==Disposition==
			*Admit

	==See Also==		==See Also==

Mholtz at 04:52, 8 August 2017

2017-08-08T04:52:47Z

← Older revision		Revision as of 04:52, 8 August 2017
Line 1:		Line 1:
	==Background==		==Background==
			*Subglottic Stenosis is a narrowing of the trachea directly inferior to the vocal cords.
	Subglottic Stenosis is a narrowing of the trachea directly inferior to the vocal cords.		*Causes:
			**Idiopathic (more likely to affect females)
	Causes:		**Congenital abnormality in newborns
	* Idiopathic (more likely to affect females)		**Past mechanical trauma to the airway (intubation or surgery)
	* Congenital abnormality in newborns		**Autoimmune disorders
	* Past mechanical trauma to the airway (intubation or surgery)		**Wegener granulomatosis/ GPA - Approximately 36% of patients with GPA develop subglottic stenosis <ref>Taylor SC, Clayburgh DR, Rosenbaum JT, Schindler JS. Progression and management of Wegener's granulomatosis in the head and neck. Laryngoscope 2012; 122:1695.</ref>
	* Autoimmune disorders		**Rheumatoid Arthritis
			**Sarcoidosis
	# Wegener granulomatosis/ GPA - Approximately 36% of patients with GPA develop subglottic stenosis <ref>Taylor SC, Clayburgh DR, Rosenbaum JT, Schindler JS. Progression and management of Wegener's granulomatosis in the head and neck. Laryngoscope 2012; 122:1695.</ref>
	# Rheumatoid Arthritis
	# Sarcoidosis


	==Clinical Features==		==Clinical Features==
	* Tachypnea/ Dyspnea/ Hypoxia		*Tachypnea/ Dyspnea/ Hypoxia
	* Inspiratory stridor		*Inspiratory stridor
	* Hoarseness/ Dysphonia		*Hoarseness/ Dysphonia
	* Respiratory accessory muscle usage		*Respiratory accessory muscle usage
	* Cough		*Cough
	* "Tightness" in the neck		*"Tightness" in the neck
	* Patients with history of greater than 1 week of intubation		*Patients with history of greater than 1 week of intubation

	==Differential Diagnosis==		==Differential Diagnosis==
	* Vocal cord paralysis		*Vocal cord paralysis
	* Subglottic hemangioma		*Subglottic hemangioma
	* Tumor (metastatic, benign airway tumors, primary endoluminal malignancies)		*Tumor (metastatic, benign airway tumors, primary endoluminal malignancies)
	* Vascular ring		*Vascular ring
	* Smoke injury		*Smoke injury
	* Chemical burn		*Chemical burn
	* Foreign body		*Foreign body
	* Tracheal stenosis (not at the subglottic region)		*Tracheal stenosis (not at the subglottic region)
	* Tracheomalacia		*Tracheomalacia<ref> Ernst A, Feller-Kopman D, Becker HD, Mehta AC. Central airway obstruction. Am J Respir Crit Care Med 2004</ref>
	<ref> Ernst A, Feller-Kopman D, Becker HD, Mehta AC. Central airway obstruction. Am J Respir Crit Care Med 2004</ref>

	==Evaluation==		==Evaluation==
	* Direct visualization via scope [[File:Subglottic_stenosis2.jpg]]		*Direct visualization via scope [[File:Subglottic_stenosis2.jpg]]
	* CT Neck		*CT Neck

	==Management==		==Management==
	* ENT referral or immediate securing of airway dependent upon respiratory distress		*ENT referral or immediate securing of airway dependent upon respiratory distress
	* Humidified oxygen		*Humidified oxygen
	* Proton pump inhibitor		*Proton pump inhibitor
	* Systemic steroids		*Systemic steroids
	* Treat underlying disorder if caused by autoimmune disorder		*Treat underlying disorder if caused by autoimmune disorder


	Definitive Management:		Definitive Management:
	* Dilation		*Dilation
	* Crichotracheal resection		*Crichotracheal resection
	* Tracheotomy		*Tracheotomy

	==Disposition==		==Disposition==
	~~Dependent upon severity of respiratory distress.~~

	==See Also==		==See Also==


	==External Links==		==External Links==


	==References==		==References==
	<references/>		<references/>

			[[Category:ENT]]

Duck427: A narrowing of the trachea directly inferior to the vocal folds caused by mechanical trauma, autoimmune disorders, congenital malformation, or idiopathic causes.

2017-08-05T18:49:42Z

A narrowing of the trachea directly inferior to the vocal folds caused by mechanical trauma, autoimmune disorders, congenital malformation, or idiopathic causes.

New page

==Background==

Subglottic Stenosis is a narrowing of the trachea directly inferior to the vocal cords.

Causes:
* Idiopathic (more likely to affect females)
* Congenital abnormality in newborns
* Past mechanical trauma to the airway (intubation or surgery)
* Autoimmune disorders

# Wegener granulomatosis/ GPA - Approximately 36% of patients with GPA develop subglottic stenosis <ref>Taylor SC, Clayburgh DR, Rosenbaum JT, Schindler JS. Progression and management of Wegener's granulomatosis in the head and neck. Laryngoscope 2012; 122:1695.</ref>
# Rheumatoid Arthritis
# Sarcoidosis

==Clinical Features==
* Tachypnea/ Dyspnea/ Hypoxia
* Inspiratory stridor
* Hoarseness/ Dysphonia
* Respiratory accessory muscle usage
* Cough
* "Tightness" in the neck
* Patients with history of greater than 1 week of intubation

==Differential Diagnosis==
* Vocal cord paralysis
* Subglottic hemangioma
* Tumor (metastatic, benign airway tumors, primary endoluminal malignancies)
* Vascular ring
* Smoke injury
* Chemical burn
* Foreign body
* Tracheal stenosis (not at the subglottic region)
* Tracheomalacia
<ref> Ernst A, Feller-Kopman D, Becker HD, Mehta AC. Central airway obstruction. Am J Respir Crit Care Med 2004</ref>

==Evaluation==
* Direct visualization via scope [[File:Subglottic_stenosis2.jpg]]
* CT Neck

==Management==
* ENT referral or immediate securing of airway dependent upon respiratory distress
* Humidified oxygen
* Proton pump inhibitor
* Systemic steroids
* Treat underlying disorder if caused by autoimmune disorder

Definitive Management:
* Dilation
* Crichotracheal resection
* Tracheotomy

==Disposition==
Dependent upon severity of respiratory distress.

==See Also==

==External Links==

==References==
<references/>