A close call: intramural oesophageal haematoma presenting with airway compromise

Background: Even though the decompression of the cellulitis phase of Ludwig’s angina (LA) by surgical or pharmacological approach is well documented, it is unclear which approach is more effective. Objective: We aim to compare the outcome of treatment between surgical versus pharmacological decompression in patients with LA. Subjects and Methods: A retrospective cohort study was designed. Data were collected from the case notes of patients that met the inclusion criteria from 2004 to 2018 at the University of Benin Teaching Hospital, Nigeria.The data were age, gender, type of decompression approach, length of hospital stay (LOS) and airway compromise. Result: A total of 62 patients comprising 37(59.7%) surgical decompression group and 25(40.3%) pharmacological decompression group were studied. Thirty-six (58.1%) males and 26 (41.9%) females were studied. Their mean age and standard deviation were 40.6 years and 11.9 years respectively. The mean length of hospital stays between the pharmacological and surgical decompression groups were 8.05 days and 13.8 days respectively. The incidence of airway compromise in the surgical decompression group was 19.9% lower than that of the pharmacological decompression group (P=0.47), which was not significant. The type of decompression approach also failed to influence the incidence of airway compromise (P = 0.41). Conclusion: The use of surgical versus pharmacological decompression does not significantly alter the incidence of airway compromise in the management of LA. The Patients that had surgical decompression had a shorter stay in the hospital as compared to those who had pharmacological decompression. This was not statistically significant.

A Case of Tracheal Stent Insertion in Airway Compromise Resulting from Anaplastic Thyroid Cancer

Korean Society for Head and Neck Oncology ◽

10.21593/kjhno/2017.33.1.47 ◽

2017 ◽

Vol 33 (1) ◽

pp. 47-52

Author(s):

Woo joo Nam ◽

◽

So Yean Kim ◽

Tae Hwan Kim ◽

Sang Hyuk Lee ◽

...

Keyword(s):

Thyroid Cancer ◽

Anaplastic Thyroid Cancer ◽

Stent Insertion ◽

Airway Compromise ◽

Tracheal Stent

Deliberate Ingestion of Potassium Salt of Fatty Acids an Organic Pesticide Leading to Airway Compromise-A Case Report

Toxicology International ◽

10.22506/ti/2016/v23/i2/146706 ◽

2016 ◽

Vol 23 (2) ◽

pp. 202

Author(s):

Vimal Koshy Thomas ◽

Siju V. Abraham ◽

Babu Palatty

Keyword(s):

Fatty Acids ◽

Case Report ◽

Potassium Salt ◽

Airway Compromise

Giant Fibrovascular Polyp as an Unusual Cause of Globus Pharyngeus

Ear Nose & Throat Journal ◽

10.1177/01455613211003989 ◽

2021 ◽

pp. 014556132110039

Author(s):

Jelena Sotirović ◽

Ljubomir Pavićević ◽

Stanko Petrović ◽

Saša Ristić ◽

Aleksandar Perić

Keyword(s):

Differential Diagnosis ◽

Asymptomatic Patient ◽

Histopathological Examination ◽

Complete Resection ◽

Airway Compromise ◽

Endoscopic Removal ◽

Globus Sensation ◽

Fibrovascular Polyp ◽

History Of ◽

Fatal Complications

Differential diagnosis of globus sensation in an otherwise asymptomatic patient should include hypopharyngeal fibrovascular polyp to avoid potentially fatal complications like airway compromise following regurgitation. We present a case of a 74-year-old man with a 13-cm long hypopharyngeal fibrovascular polyp with 9 months history of globus sensation. A narrow stalk of the giant polyp allowed endoscopic removal and complete resection with the CO2 laser. Histopathological examination was conclusive for the fibrovascular polyp.

Schwannoma of the Supraglottis

Ear Nose & Throat Journal ◽

10.1177/01455613211018586 ◽

2021 ◽

pp. 014556132110185

Author(s):

Reena Gupta ◽

Ariel M. Azhdam ◽

Michela Borrelli

Keyword(s):

Endoscopic Examination ◽

Airway Compromise ◽

Operative Site ◽

History Of

Hoarseness lasting greater than 2 weeks should be thoroughly evaluated. Here, a case is presented of a 38-year-old female with a 10-year history of dysphonia. Endoscopic examination confirmed the presence of a supraglottic mass, for which operative biopsy and imaging were performed. Pathology confirmed the diagnosis of supraglottic schwannoma. This was excised endoscopically with close management postoperatively to monitor for rapid recurrence and airway compromise. At one month postoperatively, the patient is still mildly dysphonic but vocally improved and the operative site continues to heal well.

Osteoradionecrosis of the hyoid presenting as acute airway compromise

Head & Neck ◽

10.1002/hed.26790 ◽

2021 ◽

Author(s):

Sherrie Wang ◽

Luke Stanisce ◽

Zoe Begun ◽

Traeden Wilson ◽

Nadir Ahmad ◽

...

Keyword(s):

Airway Compromise

Thyroglossal Duct Cyst Papillary Carcinoma With Airway Compromise

Ear Nose & Throat Journal ◽

10.1177/01455613211022077 ◽

2021 ◽

pp. 014556132110220

Author(s):

Po-Kai Huang ◽

Li-Chun Hsieh ◽

Yi-Shing Leu

Keyword(s):

Symptom Relief ◽

Thyroid Tissue ◽

Neck Mass ◽

Thyroglossal Duct Cyst ◽

Ectopic Thyroid ◽

Airway Compromise ◽

Duct Cyst ◽

Complete Excision ◽

Thyroglossal Duct ◽

Ectopic Thyroid Tissue

Thyroglossal duct cysts are typically benign and usually asymptomatic. Malignant transformation is uncommon. Intralaryngeal extension is rare and results in dysphonia or dyspnea. There is no literature nowadays reporting the thyroglossal duct cyst carcinoma combining the clinical features of intralaryngeal extension. The authors present a case of progressive hoarseness and midline neck mass for 2 years. The laryngoscope and computed tomography revealed a 6-cm thyroglossal duct cyst containing ectopic thyroid tissue with intralaryngeal extension and causing airway obstruction. Complete excision with Sistrunk operation revealed papillary thyroid carcinoma. The patient resumed normal phonation after the surgery. There was no evidence of tumor recurrence and no hoarseness or dyspnea at 6 months follow up. This is the first reported case of a huge thyroglossal duct cyst carcinoma with intralaryngeal extension causing airway compromise. Complete excision of tumor is essential and vital to the symptom relief. A thyroglossal duct cyst carcinoma with endolaryngeal involvement should be considered in the differential diagnosis when the case has a massive midline neck mass with ectopic thyroid tissue and develops dyspnea or hoarseness concurrently.