Noninvasive Treatment of Acquired Subglottic Stenosis

A 23-day-old infant referred to the neonatal intensive care unit with difficulty breathing and inspiratory stridor increasing with exercise. Medical history included a cardiothoracic surgery for transposition of the great arteries, patent ductus arteriosus, atrial septal defect, and a history of int...

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Bibliographic Details
Published inThe Journal of craniofacial surgery Vol. 27; no. 5; p. e492
Main Authors Ozturk, Kayhan, Erdur, Omer, Sofiyev, Fuad, Onal, Ibrahim Ozkan, Annagur, Ali
Format Journal Article
LanguageEnglish
Published United States 01.07.2016
Subjects
Catheterization
Humans
Infant, Newborn
Intubation - adverse effects
Laryngoscopy
Laryngostenosis - complications
Laryngostenosis - diagnostic imaging
Laryngostenosis - therapy
Male
Respiratory Sounds - etiology
Transposition of Great Vessels
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Summary:A 23-day-old infant referred to the neonatal intensive care unit with difficulty breathing and inspiratory stridor increasing with exercise. Medical history included a cardiothoracic surgery for transposition of the great arteries, patent ductus arteriosus, atrial septal defect, and a history of intensive care unit from surgery. Flexible fiberoptic transnasal laryngoscopy revealed subglottic stenosis that was probably caused by prolonged intubation with a higher airway pressure. Computed tomographic scan of the neck showed a tiny stenosis without cartilage deformity and limited in subglottic region. Tracheotomy and external open surgery was found risky for sternal wound infection or mediastinitis as the neonate had newly thoracotomy. The patient had a balloon dilation under general anesthesia without intubation. Presenting symptoms of the neonate were fully improved with balloon dilation.
ISSN:1536-3732
DOI:10.1097/SCS.0000000000002809