Prolapsed Nasal Polyp Causing Acute Airway Obstruction: An Exceptional Presentation

ORL ◽  
2021 ◽  
pp. 1-3
Author(s):  
Krupa R. Patel ◽  
Ashton E. Lehmann ◽  
Aria Jafari ◽  
Daniel L. Faden
Keyword(s):  
Airway Obstruction ◽  
Nasal Polyp ◽  
Nasal Polyposis ◽  
Upper Airway ◽  
Rare Presentation ◽  
First Case ◽  
Acute Airway Obstruction ◽  
History Of ◽  
Sinonasal Symptoms ◽  
Or History

Although nasal polyposis is a common clinical entity, there is limited literature describing the rare presentation of sudden prolapse of a massive nasal polyp resulting in an airway emergency in an adult. We present the first case report to our knowledge of a patient without any preceding sinonasal symptoms or history of anticoagulation who experienced acute upper airway obstruction due to sudden hemorrhage and prolapse of a large nasal polyp. Based on our experience treating this patient, we discuss special considerations in all phases of care to ensure safe and effective management of such an exceptional clinical scenario.

Nasal polyposis: unusual indication for tracheostomy

2004 ◽  
Vol 118 (4) ◽  
pp. 305-306 ◽  
Author(s):  
Swati Kumar ◽  
Eslam Osman ◽  
Jonathan A. J. Deans ◽  
John Scally
Keyword(s):  
Airway Obstruction ◽  
Nasal Obstruction ◽  
Rare Case ◽  
Nasal Polyposis ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Significant Morbidity ◽  
First Case ◽  
Emergency Tracheostomy ◽  
History Of

A rare case of nasal polyposis requiring urgent tracheostomy is reported. A70-year-old male presented to the hospital with stridor. He had a 10-year history of nasal obstruction. A large proliferative mass was found to be occupying both the nasal cavities. An emergency tracheostomy and biopsy of the lesion was performed. A computerized axial scan (CT) demonstrated that the lesion occupied the pharynx reaching up to the laryngeal inlet. To our knowledge this is the first case reported in the literature. Upper airway obstruction from nasal polypsis uncommon but can cause significant morbidity if not appropriately managed.

scholarly journals Gardener-associated fibroma: an unusual cause of upper airway obstruction

2018 ◽  
pp. bcr-2018-225079
Author(s):  
Rohan Sebastian Pinto ◽  
Anthony Simons ◽  
Rohit Verma ◽  
Neil Bateman
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Colonic Polyps ◽  
Postoperative Recovery ◽  
Upper Airway Obstruction ◽  
Transcervical Approach ◽  
First Case ◽  
Increased Risk ◽  
History Of ◽  
Apc Mutation

We present the first case of upper airway obstruction secondary to a retropharyngeal Gardner-associated fibroma (GAF). A 16-month-old infant presented with a 3-month history of worsening dyspnoea and apnoeic episodes. Examination revealed stridor and left-sided retropharyngeal asymmetry. MRI demonstrated a mass in the retropharynx. Tracheostomy and pharyngeal biopsy under anaesthesia were performed, and histology confirmed a diagnosis of GAF. The mass was excised using a transcervical approach, and postoperative recovery was unremarkable. GAF is associated with Gardner’s syndrome (GS) and familial adenomatous polyposis (FAP), both of which are associated with multiple colonic polyps and increased risk of colorectal malignancy. Subsequent testing for an APC mutation seen in GS and FAP was negative in our patient. The details of this unusual presentation of a rare disease are given in addition to a review of the literature.

scholarly journals Laryngopyocele: 10 Years’ Experience in a Tertiary Institution, South-South, Nigeria

2021 ◽  
Vol 4 ◽  
pp. 84-88
Author(s):  
Abiola Grace Adekanye ◽  
Theophilus Ipeh Ugbem ◽  
Gbenga Kajogbola ◽  
Aniefon Ntuen Udo Umana
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
External Approach ◽  
Tertiary Institution ◽  
Plain Radiographs ◽  
First Case ◽  
Acute Airway Obstruction ◽  
The Mean ◽  
The Right

Laryngopyocele is an infected laryngocele: Rarer than laryngocele. An estimated 8% of laryngoceles get infected and become laryngopyocele with features of acute airway obstruction and sepsis with resultant fatality. Laryngocele is more common in Caucasian males population after the 5th decades of life. Mostly acquired though could be congenital. Most are unilateral with no predominance for the left or the right. Recently, laryngocele is categorized into internal or mixed (combined). Laryngopyocele accounted for 0.15% of 1376 ENT surgical procedures done in our operative theatre in a period of 10 years. Both were males in their 3rd decade. The first case reported with clinical features of upper airway obstruction from left laryngopyocele. Plain radiographs and computed scan of the neck revealed features of right laryngocele with contralateral left laryngopyocele. The second patient had recurrent right laryngopyocele. Twice general practitioners previously operated upon him before presenting in our facility. The two cases were successfully managed through external approach under general anesthesia with a small size endotracheal intubation. The mean follow-up period was 4 years without recurrence. There is dearth of literature on this subject in our environment; therefore, this article is an addition to literature.

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.

Recurrent transient loss of airway secondary to regurgitated pedunculated hypopharyngeal liposarcoma

2021 ◽  
Vol 14 (5) ◽  
pp. e240503
Author(s):  
Craig John Hickson ◽  
Omar Ahmed ◽  
Juliet Laycock ◽  
Robert Hone
Keyword(s):  
Airway Obstruction ◽  
Multidisciplinary Team ◽  
Rare Case ◽  
Atypical Presentation ◽  
Team Meetings ◽  
Acute Airway Obstruction ◽  
History Of ◽  
Transient Loss ◽  
Multidisciplinary Team Meetings

We describe a rare case of hypopharyngeal liposarcoma with an atypical presentation. The patient presented with a 3-month history of intermittent, transient acute airway obstruction. In between episodes, he was asymptomatic. A pedunculated tumour originating in the postcricoid region was seen to be suspended into the oesophagus and intermittently regurgitated into the larynx to cause airway obstruction. The lesion was endoscopically removed and examined histologically to confirm the diagnosis. On-going management of rare lesions such as this should be through multidisciplinary team meetings at a tertiary sarcoma centre.

scholarly journals Subglottic acute lymphoblastic leukaemia

2018 ◽  
Vol 11 (1) ◽  
pp. e226364
Author(s):  
Shilpa Ojha ◽  
Julian Gaskin ◽  
Michael Saunders
Keyword(s):  
Differential Diagnosis ◽  
Paediatric Patient ◽  
Acute Lymphoblastic Leukaemia ◽  
Airway Obstruction ◽  
Lymphoblastic Leukaemia ◽  
Unusual Case ◽  
Acute Airway Obstruction ◽  
History Of ◽  
Low Threshold

Acute lymphoblastic leukaemia (ALL) is one of the the most common malignancies of childhood and can occasionally present as acute airway obstruction. We present the unusual case of a 1-year-old boy who was referred to our Paediatric Otolaryngology (ENT) clinic with a recurrent history of croup. This is the first reported case of localised ALL presenting as a subglottic mass in a paediatric patient. It highlights the need to have a broader differential diagnosis in children presenting with ‘recurrent croup’ including extramedullary presentation of leukaemia and to have a low threshold for performing endoscopy in such cases.

scholarly journals Sub-glottic cysts causing upper airway obstruction

2020 ◽  
Vol 6 (6) ◽  
pp. 1203
Author(s):  
Swathi Chigicherla ◽  
Shruti Tewari ◽  
Rahul Deo Sharma ◽  
Rajesh Nathani
Keyword(s):  
Respiratory Distress ◽  
Airway Obstruction ◽  
Direct Laryngoscopy ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
First Case

<p class="abstract">Wigger and Tang reported the first case of a sub-glottic cyst (SGC) in 1968. SGC are rare but potentially reversible causes of upper airway obstruction, in previously intubated children. These children present with respiratory distress and stridor, and the diagnosis is confirmed by direct laryngoscopy. The management depends on the size of the cysts and the severity of the symptoms. We are presenting two cases of SGCs who were born prematurely and were intubated for a prolonged period. They presented with stridor and were diagnosed to have sub-glottic cysts at bronchoscopy.</p>

scholarly journals Angiofibrolipoma of the soft palate: A very rare cause of upper air way obstruction in an infant.

2020 ◽  
Vol 6 (1) ◽  
pp. 45-48
Author(s):  
Sonam Gyamtsho
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Soft Palate ◽  
Rare Case ◽  
Upper Airway ◽  
Female Child ◽  
Airway Compromise ◽  
Bipolar Cautery ◽  
History Of ◽  
Infant Case

Introduction: Infants and children are very prone to air way obstruction due to smaller and immature air ways. There are multiple causes of upper airway obstruction in infants like infections, congenital lesions and rarely tumours of the upper airway. However, angiofibrolipoma, a rare variant of lipoma causing intermittent respiratory distress in an infant has not been reported until now. Objective: To report a very rare case of angiofibrolipoma arising from the soft palate in an infant. Case report: Two and half months old female child reported to the department of otolaryngology with a history of intermittent airway obstruction since one month of age. After evaluation she was found to have a fleshy polypoidal mass above the laryngeal inlet arising from soft palate causing airway compromise. She underwent surgical excison with bipolar cautery under general anaesthesia. Conclusion: Few cases of angiofibrolipoma has been reported in adults but none has been reported in children. This is to report a case of angiofibrolipoma in child causing 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.

Arytenoid Prolapse following Laryngotracheoplasty

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P62-P62
Author(s):  
Catherine K. Hart ◽  
Gresham T. Richter ◽  
Robin T Cotton ◽  
Michael J Rutter
Keyword(s):  
Airway Obstruction ◽  
Clinical Features ◽  
Sleep Disordered Breathing ◽  
Chart Review ◽  
Tertiary Care ◽  
Upper Airway ◽  
History Of ◽  
Tertiary Care Institution ◽  
Second Procedure ◽  
Retrospective Database

Objective Dynamic arytenoid prolapse (AP) is a potential and often late source of upper airway obstruction in children following laryngotrachoplasty (LTP). Reasons for this occurrence remain unclear. We examined the incidence and clinical features of AP in patients following LTP to explore the etiology and optimal surgical approach to this problem. Methods Retrospective database and chart review of children diagnosed with AP after LTP at a pediatric tertiary care institution from 1981–2007. Results 120 patients with no history of AP were diagnosed with AP following LTP (incidence 7.3% = 120/1634). 63 patients had unilateral prolapse, while 57 had bilateral AP. Average time from LTP to presentation was 44 months. Common symptoms were dyspnea on exertion, tracheostomy-dependence, and sleep-disordered breathing. Posterior cricoid interventions and revision LTP were most frequently associated with postoperative AP. 64% (n=77) of patients required surgical intervention. Endoscopic arytenoid reduction (AR) was performed in 54 patients, while 13 underwent AR during revision LTP. 2 patients underwent AR with cordotomy. Tracheostomy was performed with AR in another 2 patients. 28 patients required a second procedure for persistent prolapse. 36%(n=42) of patients did not require surgery. Airway complaints were relieved, or tracheostomy decannulation was achieved, in all patients after AR in which AP was the source of obstruction (avg. f/u=34.4mos). Conclusions Dynamic AP is a notable cause of airway obstruction following LTP. Subtle airway complaints and decannulation failures are common clinical features. Both endoscopic and open AR procedures are successful in relieving AP. Potential etiology for AP after LTP is discussed.

Sign in / Sign up

Export Citation Format

Share Document