Congenital laryngeal cysts: current approach to management

1996 ◽  
Vol 110 (9) ◽  
pp. 854-856 ◽  
Author(s):  
Martin Wai Pak ◽  
John Kong Sang Woo ◽  
Charles Andrew van Hasselt
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Current Approach ◽  
Upper Airway Obstruction ◽  
Morbidity And Mortality ◽  
Diagnosis And Treatment ◽  
Endoscopic Removal ◽  
Live Births ◽  
Flexible Laryngoscopy ◽  
Definitive Surgery

AbstractCongenital laryngeal cysts are a rare cause of neonatal upper airway obstruction which may lead to serious morbidity and mortality if diagnosis and treatment are delayed. We reviewed our experience with nine patients over a six-year period. The annual incidence of this condition was 1.82 per 100,000 live births. The diagnosis can be confirmed safely by flexible laryngoscopy before definitive surgery is contemplated. Contrary to other studies, we found that endoscopic removal of cysts can achieve an effective cure without recurrence. Endoscopic deroofing is as effective as endoscopic excision but is technically simpler and thus is recommended as the treatment of choice.

Pediatric Upper Airway Obstruction

2018 ◽  
Author(s):  
Michael W. Chan ◽  
Suzanne M. Schmidt
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Peritonsillar Abscess ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Retropharyngeal Abscess ◽  
Anatomic Location ◽  
Bacterial Tracheitis

Upper airway obstruction is a common reason that children present for emergency care, and causes range from simple and benign etiologies to life-threatening conditions requiring emergent intervention. Both congenital and acquired conditions can result in airway obstruction at various levels, and due to the high risk of acute decompensation associated with some of these conditions, rapid diagnosis and treatment are essential. This review covers assessment and stabilization, diagnosis, and treatment of foreign-body aspiration, croup, bacterial tracheitis, epiglottitis, peritonsillar abscess, and retropharyngeal abscess. Figures show a diagram of the pediatric airway, an anteroposterior radiograph of the neck demonstrating the characteristic “steeple sign” in croup, an algorithm for the treatment of croup, lateral radiographs demonstrating a thickened epiglottis, consistent with a diagnosis of epiglottitis,  and a widening of the prevertebral soft tissues of the neck, consistent with a diagnosis of retropharyngeal abscess. Tables list causes of upper airway obstruction by anatomic location, symptoms of upper airway obstruction by anatomic location, severity of croup, and microbiology of deep neck abscesses.   This review contains 5 figures, 13 tables, and 32 references Key words: Upper airway obstruction; Pediatric upper airway obstruction, Foreign-body aspiration, Croup, Bacterial tracheitis, Epiglottitis, Peritonsillar abscess, Retropharyngeal abscess, Stridor

Pediatric Upper Airway Obstruction

2018 ◽  
Author(s):  
Michael W. Chan ◽  
Suzanne M. Schmidt
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Peritonsillar Abscess ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Retropharyngeal Abscess ◽  
Anatomic Location ◽  
Bacterial Tracheitis

Upper airway obstruction is a common reason that children present for emergency care, and causes range from simple and benign etiologies to life-threatening conditions requiring emergent intervention. Both congenital and acquired conditions can result in airway obstruction at various levels, and due to the high risk of acute decompensation associated with some of these conditions, rapid diagnosis and treatment are essential. This review covers assessment and stabilization, diagnosis, and treatment of foreign-body aspiration, croup, bacterial tracheitis, epiglottitis, peritonsillar abscess, and retropharyngeal abscess. Figures show a diagram of the pediatric airway, an anteroposterior radiograph of the neck demonstrating the characteristic “steeple sign” in croup, an algorithm for the treatment of croup, lateral radiographs demonstrating a thickened epiglottis, consistent with a diagnosis of epiglottitis,  and a widening of the prevertebral soft tissues of the neck, consistent with a diagnosis of retropharyngeal abscess. Tables list causes of upper airway obstruction by anatomic location, symptoms of upper airway obstruction by anatomic location, severity of croup, and microbiology of deep neck abscesses.   This review contains 5 figures, 13 tables, and 32 references Key words: Upper airway obstruction; Pediatric upper airway obstruction, Foreign-body aspiration, Croup, Bacterial tracheitis, Epiglottitis, Peritonsillar abscess, Retropharyngeal abscess, Stridor

Chronic Alveolar Hypoventilation Secondary to Macroglossia in the Beckwith-Wiedemann Syndrome

PEDIATRICS ◽  
1982 ◽  
Vol 70 (5) ◽  
pp. 695-697 ◽  
Author(s):  
Dean F. Smith ◽  
Frederick G. Mihm ◽  
Michael Flynn
Keyword(s):  
Pulmonary Hypertension ◽  
Airway Obstruction ◽  
Early Recognition ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Morbidity And Mortality ◽  
Airway Compromise ◽  
Alveolar Hypoventilation

Chronic upper airway obstruction has been shown to cause secondary reversible pulmonary hypertension. Many pathophysiologic processes can produce such obstruction. A 3-month-old child with Beckwith-Wiedemann syndrome who manifested chronic upper airway obstruction secondary to macroglossia is reported. Early recognition and therapy of airway compromise may decrease morbidity and mortality in this syndrome and others in which macroglossia is present.

Pediatric Upper Airway Obstruction

2018 ◽  
Author(s):  
Michael W. Chan ◽  
Suzanne M. Schmidt
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Peritonsillar Abscess ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Retropharyngeal Abscess ◽  
Anatomic Location ◽  
Bacterial Tracheitis

Upper airway obstruction is a common reason that children present for emergency care, and causes range from simple and benign etiologies to life-threatening conditions requiring emergent intervention. Both congenital and acquired conditions can result in airway obstruction at various levels, and due to the high risk of acute decompensation associated with some of these conditions, rapid diagnosis and treatment are essential. This review covers assessment and stabilization, diagnosis, and treatment of foreign-body aspiration, croup, bacterial tracheitis, epiglottitis, peritonsillar abscess, and retropharyngeal abscess. Figures show a diagram of the pediatric airway, an anteroposterior radiograph of the neck demonstrating the characteristic “steeple sign” in croup, an algorithm for the treatment of croup, lateral radiographs demonstrating a thickened epiglottis, consistent with a diagnosis of epiglottitis,  and a widening of the prevertebral soft tissues of the neck, consistent with a diagnosis of retropharyngeal abscess. Tables list causes of upper airway obstruction by anatomic location, symptoms of upper airway obstruction by anatomic location, severity of croup, and microbiology of deep neck abscesses.   This review contains 5 figures, 10 tables, and 32 references Key words: Upper airway obstruction; Pediatric upper airway obstruction, Foreign-body aspiration, Croup, Bacterial tracheitis, Epiglottitis, Peritonsillar abscess, Retropharyngeal abscess, Stridor  

Endoscopic Diagnosis and Treatment of Nasolacrimal Duct Cysts Causing Upper Airway Obstruction in the Neonate

1995 ◽  
Vol 9 (3) ◽  
pp. 179-182 ◽  
Author(s):  
William H. Lindsey ◽  
Jennifer R. Hoare ◽  
David F. Moore ◽  
William G. Giles ◽  
Charles W. Gross
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Nasolacrimal Duct ◽  
Endoscopic Diagnosis ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment

scholarly journals Epiglottic abscess as a rare cause of muffled voice

2021 ◽  
Vol 17 (1) ◽  
pp. 80-83
Author(s):  
Nur Adillah Lamry ◽  
◽  
Norhafizah Saifuddin ◽  
Irfan Mohamad ◽  
◽  
...  
Keyword(s):  
Antibiotic Therapy ◽  
Airway Obstruction ◽  
General Condition ◽  
Upper Airway ◽  
Disease Status ◽  
Upper Airway Obstruction ◽  
Flexible Laryngoscopy ◽  
Good General Condition

A 42-year-old male presented with fever and symptoms of impending upper airway obstruction on the day of presentation. He required immediate intubation due to swollen epiglottis. The condition responded to antibiotic and steroids, and he was able to be extubated after 3 days. Two days later, however, the epiglottis started to swell up again, this time with pus discharge. Emergency exploration and drainage of the epiglottic abscess were executed, and the patient was kept intubated for a few days afterwards for the swollen epiglottis to reduce in size. Daily flexible laryngoscopy was commenced to monitor the disease status. After completing the antibiotic therapy the patient was discharged in good general condition.

Accidental Ingestion of Steradent Tablets in a Patient with Cognitive Impairment

2007 ◽  
Vol 52 (3) ◽  
pp. 53-53 ◽  
Author(s):  
S Laidlaw
Keyword(s):  
Cognitive Impairment ◽  
Airway Obstruction ◽  
Vascular Dementia ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Morbidity And Mortality ◽  
Accidental Ingestion ◽  
Oesophageal Ulceration

Accidental ingestion of medicines and household goods can be a problem in people with cognitive impairment. There is significant associated morbidity and mortality. Here we present a case of an 87-year-old gentleman with vascular dementia who accidentally ingested two Steradent denture-cleaning tablets. He rapidly developed acute upper airway obstruction and extensive oesophageal ulceration. He required intubation and ventilation. This case reinforces the importance of minimising the risk of accidental ingestion.

Invasive Hemophilus Infections: Epiglottitis and Cellulitis

1981 ◽  
Vol 90 (3_suppl2) ◽  
pp. 19-22 ◽  
Author(s):  
James D. Cherry
Keyword(s):  
Antibiotic Therapy ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Hemophilus Influenzae

Epiglottitis, along with other infectious croup syndromes (laryngotracheitis and spasmodic croup), are illnesses which cause acute upper airway obstruction. They are discussed in terms of etiology, symptoms, diagnosis and treatment. Cellulitis and the role of Hemophilus influenzae and antibiotic therapy are also described.

Sudden Airway Obstruction Due to Pedunculated Laryngeal Polyps

1983 ◽  
Vol 92 (4) ◽  
pp. 340-343 ◽  
Author(s):  
Jeffrey N. Hausfeld ◽  
Eiji Yanagisawa ◽  
Myles L. Pensak
Keyword(s):  
Primary Care ◽  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Airway Obstruction ◽  
Primary Care Physicians ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Respiratory Obstruction

Acute upper airway obstruction from laryngeal polyps is uncommon. However, a large pedunculated laryngeal polyp, when unrecognized, may produce sudden airway obstruction. The importance of an early diagnosis and treatment is stressed. Primary care physicians, endoscopists, anesthesiologists, and otolaryngologists should be aware of this condition and add it to their differential diagnosis of sudden respiratory obstruction.

Pediatric Upper Airway Obstruction

2018 ◽  
Author(s):  
Michael W. Chan ◽  
Suzanne M. Schmidt
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Peritonsillar Abscess ◽  
Foreign Body Aspiration ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Retropharyngeal Abscess ◽  
Anatomic Location ◽  
Bacterial Tracheitis

Upper airway obstruction is a common reason that children present for emergency care, and causes range from simple and benign etiologies to life-threatening conditions requiring emergent intervention. Both congenital and acquired conditions can result in airway obstruction at various levels, and due to the high risk of acute decompensation associated with some of these conditions, rapid diagnosis and treatment are essential. This review covers assessment and stabilization, diagnosis, and treatment of foreign-body aspiration, croup, bacterial tracheitis, epiglottitis, peritonsillar abscess, and retropharyngeal abscess. Figures show a diagram of the pediatric airway, an anteroposterior radiograph of the neck demonstrating the characteristic “steeple sign” in croup, an algorithm for the treatment of croup, lateral radiographs demonstrating a thickened epiglottis, consistent with a diagnosis of epiglottitis,  and a widening of the prevertebral soft tissues of the neck, consistent with a diagnosis of retropharyngeal abscess. Tables list causes of upper airway obstruction by anatomic location, symptoms of upper airway obstruction by anatomic location, severity of croup, and microbiology of deep neck abscesses.   This review contains 5 figures, 13 tables, and 32 references Key words: Upper airway obstruction; Pediatric upper airway obstruction, Foreign-body aspiration, Croup, Bacterial tracheitis, Epiglottitis, Peritonsillar abscess, Retropharyngeal abscess, Stridor

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