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. 2020 Dec 15:2020:6383568.
doi: 10.1155/2020/6383568. eCollection 2020.

Subglottic Stenosis in Children: Preliminary Experience from a Tertiary Care Hospital

Manzoor Ahmad Latoo  1 , Aleena Shafi Jallu  1
Affiliations

Subglottic Stenosis in Children: Preliminary Experience from a Tertiary Care Hospital

Manzoor Ahmad Latoo et al. Int J Otolaryngol. .

Abstract

Introduction: This retrospective study describes our experience in the evaluation and management of infants with subglottic stenosis.

Materials and methods: The study included 10 patients aged between 1 wk and 18 months with 6 cases having congenital subglottic stenosis and 4 cases having acquired subglottic stenosis.

Results: 6 patients had grade I, 3 patients had grade II, and 1 patient had grade III subglottic stenosis. Tracheostomy was required in 4 patients at the time of presentation. 7 patients were treated successfully with Bougie dilation followed by topical application of mitomycin, whereas 1 patient who failed to serial dilation needed open reconstructive procedure. Laser excision of the anterior subglottic web was performed in one patient. Another patient with underlying cerebral palsy could not be operated upon and was managed with tracheostomy.

Conclusion: Subglottic stenosis may be effectively man-aged with endoscopic surgical techniques, although the number of such sittings required varies with the type and severity of stenosis. Open surgical procedures need to be individualised as per the needs of the patient only after all the other endoscopic possibilities have been exhausted.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Subglottic stenosis with 3D reconstruction on a multidetector CT in an 18-month-old child with aquired subglottic stenosis.
Figure 2
Figure 2
Preop coronal CT appearance in a child with acquired subglottic stenosis.
Figure 3
Figure 3
Postoperarative appearance on coronal CT images, after surgery for acquired subglottic stenosis; note the adequacy of the airway.
Figure 4
Figure 4
Grade III membranous subglottic stenosis with only a pinpoint opening as seen on endoscopic examination.
Figure 5
Figure 5
Postoperative endoscopic view of grade III subglottic stenosis after first sitting of bougie dilation.
Figure 6
Figure 6
Postoperative picture after third sitting of bougie dilation for grade III subglottic stenosis.
Figure 7
Figure 7
Anterior subglottic web.
Figure 8
Figure 8
Preoperative sagittal CT image with tracheostomy tube in situ.
Figure 9
Figure 9
Postoperative CT image showing adequate subglottic airway lumen.
See this image and copyright information in PMC

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