Life-threatening laryngeal polyp in a child (a case report)

1987 ◽  
Vol 101 (3) ◽  
pp. 293-295 ◽  
Author(s):  
M. Juhlin-Dannfelt ◽  
O. Densert
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Histological Picture ◽  
Life Threatening ◽  
Emergency Tracheotomy

AbstractA laryngeal polyp caused a life-threatening airway obstruction in a 3-year-old child. This condition required an emergency tracheotomy, which was performed without previous intubation. The histological picture indicated the diagnosis of a teleangiectatic granuloma. No other case of solitary laryngeal polyp causing upper airway obstruction in a child has been previously reported.

Failure of intubation in acute inflammatory airway obstruction in childhood

1985 ◽  
Vol 99 (10) ◽  
pp. 993-998 ◽  
Author(s):  
Peter J. Robb
Keyword(s):  
Airway Obstruction ◽  
Nasotracheal Intubation ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Life Saving ◽  
Life Threatening ◽  
Emergency Tracheotomy

SummaryAt the present time, viral laryngotracheobronchitis. (LTB), and bacterial epiglottitis account for the majority of cases of acute infectious upper airway obstruction in children. This airway obstruction may become life-threatening and require relief either by tracheotomy or by nasotracheal intubation. Recently the trend has been away from tracheotomy and towards intubation. Three cases are reported in this paper, in which intubation by experienced anaesthetists proved impossible, and a life-saving tracheotomy was immediately performed by the otolaryngologist in attondance.It is recommended that an experienced otolaryngologist should always be present at the time of intubation, should it prove impossible, and the child require emergency tracheotomy to secure the airway.

scholarly journals Case Report: Upper airway obstruction due to rheumatoid arthritis

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 119
Author(s):  
Mohan Rudrappa ◽  
Laxmi Kokatnur ◽  
Sanket Shah
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Airway Obstruction ◽  
Medical Literature ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Threatening Condition ◽  
Life Threatening ◽  
Cricoarytenoid Arthritis ◽  
Laryngeal Involvement

Rheumatoid arthritis (RA) is a common autoimmune disease characterized by inflammation of small joints. Small synovial joints in the larynx can also become affected, and laryngeal involvement is seen in more than half of patients with RA. As most patients have subtle symptoms and indolent course, they are either misdiagnosed or undiagnosed. The acute worsening of cricoarytenoid arthritis can cause sudden upper airway obstruction and may require emergency intubation or tracheostomy. This life-threatening condition is described in only a handful of cases in the medical literature. Physicians should be aware of this rare but life-threatening consequence of RA. We present a case of sudden and severe upper airway obstruction secondary to laryngeal involvement in a patient with long-standing RA.

scholarly journals Acute upper airway obstruction as a life-threatening complication of ventral bulla osteotomy: report of two consecutive cases

2021 ◽  
Vol 7 (1) ◽  
pp. 205511692110059
Author(s):  
Michal Vlasin ◽  
Richard Artingstall ◽  
Barbora Mala
Keyword(s):  
Airway Obstruction ◽  
Clinical Signs ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Single Session ◽  
Inflammatory Polyp ◽  
Case Summary ◽  
First Case ◽  
Life Threatening

Case summary This paper presents two cases of acute postoperative upper airway obstruction following ventral bulla osteotomy (VBO) in cats. The first cat underwent a unilateral left-sided VBO for a suspected inflammatory polyp. The second cat underwent a single-session bilateral VBO procedure for bilateral otitis media. In the first case, immediate re-intubation and a gradual lightening of the anaesthetic plane resolved the clinical signs; in the second case, the patient deteriorated and went into acute cardiorespiratory arrest and received cardiopulmonary resuscitation. Both patients recovered well and were discharged home 3 days after surgery. Both cases were reported to show no further clinical signs on postoperative follow-up 3 weeks and 4 months after surgery, respectively. Relevance and novel information Upper airway obstruction should be regarded as a potential complication of VBO in cats.

Case Report: Advanced Upper Airway Obstruction Caused by Cervical Goiter

1989 ◽  
Vol 297 (3) ◽  
pp. 176-177 ◽  
Author(s):  
Maria Chiriboga ◽  
John Oropello ◽  
Krishnan Padmanabhan ◽  
Joel M. Goldman
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction

scholarly journals Life–threatening Pulmonary Oedema Secondary to Tracheal Compression

2002 ◽  
Vol 30 (6) ◽  
pp. 804-806 ◽  
Author(s):  
H. Butterell ◽  
R. H. Riley
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Airway Obstruction ◽  
Pulmonary Oedema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Tracheal Compression ◽  
Negative Pressure Pulmonary Oedema ◽  
Life Threatening ◽  
Thyroid Goitre

We present a case of negative pressure pulmonary oedema due to an overlooked cause. A 45-year-old female patient presented to the emergency department unconscious with severe pulmonary oedema. Subsequent investigations revealed a thyroid goitre causing significant tracheal compression. This case report highlights an extremely rare but potentially dangerous sequela of upper airway obstruction.

scholarly journals Concurrent Negative-Pressure Pulmonary Edema (NPPE) and Takotsubo Syndrome (TTS) after Upper Airway Obstruction

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Evan Harmon ◽  
Sebastian Estrada ◽  
Ryan J. Koene ◽  
Sula Mazimba ◽  
Younghoon Kwon
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Negative Pressure ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Takotsubo Syndrome ◽  
Negative Pressure Pulmonary Edema ◽  
Acute Airway Obstruction ◽  
Increased Risk ◽  
Life Threatening

Upper airway obstruction is a potentially life-threatening emergency often encountered in the acute care, perioperative, and critical care settings. One important complication of acute obstruction is negative-pressure pulmonary edema (NPPE). We describe two cases of acute upper airway obstruction, both of which resulted in flash pulmonary edema complicated by acute hypoxic respiratory failure. Though NPPE was suspected, these patients were also found to have Takotsubo syndrome (TTS). Neither patient had prior cardiac disease, and both subsequently had a negative ischemic workup. Because TTS is a condition triggered by hyperadrenergic states, the acute airway obstruction alone or in combination with NPPE was the likely explanation for TTS in each case. These cases highlight the importance of also considering cardiogenic causes of pulmonary edema in the setting of upper airway obstruction, which we suspect generates a profound catecholamine surge and places patients at increased risk of TTS development.

scholarly journals An Unusual cause of Acute Hypercapneic Respiratory Failure

2011 ◽  
Vol 5 ◽  
pp. CCRPM.S7687
Author(s):  
Janice Wang ◽  
Astha Chichra ◽  
Seth Koenig
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Diagnostic Imaging ◽  
Airway Obstruction ◽  
Pulmonary Disease ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Progressive Dyspnea

We present a rare cause of hypercapneic respiratory failure through this case report of a 72-year-old man presenting with progressive dyspnea and dysphagia over two years. Hypercapneic respiratory failure was acute on chronic in nature without an obvious etiology. Extensive workup for intrinsic pulmonary disease and neurologic causes were negative. Laryngoscopy and diagnostic imaging confirmed the diagnosis of diffuse idiopathic skeletal hyperostosis, also known as DISH, as the cause of upper airway obstruction leading to hypercapneic respiratory failure.

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