Stridor due to a bridge-like subglottic stenosis in a 10-week-old male infant

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• 作者：J.J.S. van Dinther ; A.N. Boudewyns ; Ph.G. Jorens ; V. Van Marck ; J. Claes ; P.H. Van de Heyning
• 刊名：International Journal of Pediatric Otorhinolaryngology
• 出版年：2009
• 出版时间：January 2009
• 年：2009
• 卷：73
• 期：1
• 页码：159-162
• 全文大小：306 K

文摘

Summary

We present an infant with post-intubation stridor caused by a bridge-like subglottic stenosis. At the age of 6 weeks he suffered from a RSV infection with the need for endotracheal intubation. At week 10 acute respiratory distress required a re-intubation. Flexible endoscopy was suggestive for laryngomalacia. Rigid endoscopy revealed a subglottic laterolateral mucosal bridge resulting in a doubling of the airway lumen. Histopathological examination showed a fibrinoid pseudomembrane. Follow up endoscopy showed a grade 1 posterior subglottic stenosis without respiratory compromise. This is the first case in the literature of an infant with a post-intubation bridge-like fibrinoid pseudomembranous subglottic lesion.