Delayed fatal upper-airway obstruction due to laryngopharyngeal burns and thermal epiglottis

2020 ◽  
Vol 60 (3) ◽  
pp. 223-226
Author(s):  
Alice Dalrymple ◽  
John D Gilbert ◽  
Roger W Byard
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Airway Obstruction ◽  
Thermal Injury ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Mucosal Inflammation ◽  
Shortness Of Breath ◽  
Food Ingestion ◽  
History Of ◽  
Unusual Injury

A 48-year-old man complained of throat swelling and difficulty swallowing after eating hot food. Several hours later, he collapsed and was observed to be gasping for breath. Bystander and ambulance-initiated cardiopulmonary resuscitation was unsuccessful, and he was pronounced deceased at the scene. At autopsy, the aryepiglottic folds were markedly oedematous, with adjacent areas of mucosal inflammation and necrosis from a recent burn. Death was attributed to upper-airway obstruction due to glottic inlet oedema associated with epiglottic and laryngopharyngeal thermal injury. Although thermal epiglottitis not involving fire is an unusual injury and is rarely fatal, the reported case demonstrates a lethal episode arising from the ingestion of excessively hot food. Thermal epiglottitis therefore represents an uncommon cause of delayed upper-airway obstruction in adults that should be considered in individuals presenting with a sore throat and shortness of breath, particularly if there is a history of hot-food ingestion.

scholarly journals Chronic Lymphocytic Leukemia as an Unusual Cause of Rapid Airway Compromise

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Adrian R. Bersabe ◽  
Joshua T. Romain ◽  
Erin E. Ezzell ◽  
John S. Renshaw
Keyword(s):  
Chronic Lymphocytic Leukemia ◽  
Airway Obstruction ◽  
Head And Neck ◽  
Cervical Lymphadenopathy ◽  
Upper Airway ◽  
Lymphocytic Leukemia ◽  
Upper Airway Obstruction ◽  
Airway Compromise ◽  
History Of ◽  
Prevalent Form

Chronic Lymphocytic Leukemia (CLL) is the most prevalent form of non-Hodgkin’s lymphoma (NHL) in Western countries predominantly affecting adults over the age of 65. CLL is commonly indolent in nature but can present locally and aggressively at extranodal sites. Although CLL may commonly present with cervical lymphadenopathy, manifestation in nonlymphoid regions of the head and neck is not well described. CLL causing upper airway obstruction is even more uncommon. We describe a case of a patient with known history of CLL and stable lymphocytosis that developed an enlarging lymphoid base of tongue (BOT) mass resulting in rapid airway compromise.

Acute upper airway obstruction following Teflon injection of a vocal cord; the value of nebulized adrenaline and a helium/oxygen mixture in its management

1990 ◽  
Vol 104 (8) ◽  
pp. 654-655 ◽  
Author(s):  
Neil B. Solomons ◽  
Jonathan R. Livesey
Keyword(s):  
Airway Obstruction ◽  
Vocal Cord ◽  
Upper Airway ◽  
Vocal Cord Palsy ◽  
Upper Airway Obstruction ◽  
Oxygen Mixture ◽  
Post Operative Period ◽  
History Of ◽  
The Right

AbstractA 67-year-old man presented with a 45-year history of a weak voice. This was the result of polio which had left him with a right vocal cord palsy.The patient underwent a Teflon injection of the right vocal cord under general anaesthesia to improve the quality of his voice. In the immediate post-operative period, he suffered acute upper airway obstruction. The problem of acute upper airway obstruction following Teflon injection is considered and its management with nebulized adrenaline and a helium/oxygen mixture is discussed.

Mediastinal tuberculosis in a 10-month-old child

2001 ◽  
Vol 115 (2) ◽  
pp. 161-163 ◽  
Author(s):  
Aftab Ahmed ◽  
Showkat Mirza ◽  
Michael P. Rothera
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Rare Case ◽  
Mediastinal Mass ◽  
Histological Analysis ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Mediastinal Lymphadenopathy ◽  
X Rays ◽  
History Of

We report a rare case of mediastinal tuberculosis in a child who presented as a possible inhaled foreign body. A 10-month-old girl was admitted with a five-month history of cough, wheeze and problematic feeding, thought initially to be due to asthma. A clinical deterioration and subsequent X-rays suggested an inhaled foreign body. However, at direct laryngotracheobronchoscopy no foreign body was found and subsequent investigations revealed a subcarinal mediastinal mass. She underwent a thoracotomy and excision of the mass, the histological analysis of which revealed it to be of tuberculous origin. When a patient presents with symtoms of upper airway obstruction which are highly suggestive of a foreign body, other causes such as mediastinal tuberculosis must be borne in mind when no foreign body can be found. Although rare, cases of tuberculosis are apparently increasing and the otolaryngolgoist must be aware of its various manifestations and submit specimens for appropriate analysis. We also briefly review mediastinal lymphadenopathy due to tuberculosis.

Failed tracheostomy under local anaesthesia…plan B?

2006 ◽  
Vol 120 (10) ◽  
pp. 882-884 ◽  
Author(s):  
B Maiya ◽  
H L Smith
Keyword(s):  
Airway Obstruction ◽  
Local Anaesthesia ◽  
Upper Airway ◽  
Management Plan ◽  
Upper Airway Obstruction ◽  
Fibre Optic ◽  
Short History ◽  
Recent Onset ◽  
Relative Contraindication ◽  
History Of

Severe stridor of recent onset is a challenge to deal with because of the lack of investigations on which to base the management plan. We describe a case of an elderly lady who presented to us with a short history of severe stridor. We encountered unanticipated difficulties with tracheostomy under local anaesthesia as the thyroid was replaced by a diffuse mass and the airway had to be secured by an awake fibre-optic intubation. Awake fibre-optic intubation is thought to be a relative contraindication in acute upper airway obstruction, but occasionally tracheostomy under local anaesthesia may not be possible and in experienced hands an awake fibre-optic intubation is a reasonable alternative.

scholarly journals A Rare Cause of Upper Airway Obstruction in a Child

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
H. Ahmed ◽  
C. Ndiaye ◽  
M. W. Barry ◽  
Aliou Thiongane ◽  
A. Mbaye ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Respiratory Infections ◽  
Previous History ◽  
Upper Airway ◽  
Rare Condition ◽  
Upper Airway Obstruction ◽  
Complete Excision ◽  
Severe Respiratory Distress ◽  
History Of ◽  
Laryngeal Dyspnea

Ventricular band cyst is a rare condition in children but can result in severe upper airway obstruction with laryngeal dyspnea or death. The diagnosis should be considered in any stridor in children with previous history of intubation or respiratory infections. We report a case of a 4-year-old girl, received in an array of severe respiratory distress, emergency endoscopy was done, and a large ventricular tape band cyst obstructing the air way was found. Complete excision was made, and postoperative prophylaxis tracheotomy was done. The postoperative course was uneventful with improvement of clinical and endoscopic signs.

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.

Adenotonsillectomy for upper airway obstruction carries increased risk in children with a history of prematurity

1992 ◽  
Vol 13 (4) ◽  
pp. 222-226 ◽  
Author(s):  
Francis X. McGowan ◽  
Margaret A. Kenna ◽  
Julia A. Fleming ◽  
Theresa O'Connor
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Increased Risk ◽  
History Of

scholarly journals Postobstructive pulmonary edema: A fatal complication in suicidal near-hanging

2020 ◽  
Vol 8 ◽  
pp. 2050313X2092271
Author(s):  
Mohamed Amin Mesrati ◽  
Oussama Jaoued ◽  
Yosra Mahjoub ◽  
Marwa Boussaid ◽  
Med Fkih Hassen ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Pulmonary Edema ◽  
Fatal Case ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Computed Tomographic ◽  
Computed Tomographic Scan ◽  
Life Threatening ◽  
History Of ◽  
Respiratory State

Postobstructive pulmonary edema is a life-threatening complication that occurs after the removal of severe upper airway obstruction. Development of postobstructive pulmonary edema has been described after several cases of upper airway obstruction. However, postobstructive pulmonary edema developing after non-lethal hanging has not been reported widely in the literature. Herein, we describe a fatal case of postobstructive pulmonary edema in a 10-year-old girl, which was brought to the hospital with history of attempted suicide by hanging. At presentation, the girl was breathing laboriously. The oxygen saturation was of 82% and pulmonary auscultation revealed bilateral and diffuse crepitations. The chest computed tomographic scan showed bilateral diffuse infiltrates consistent with pulmonary edema. After 3 days of hospitalization, the respiratory state of the girl worsened leading to death despite intensive care. An autopsy was conducted and confirmed the diffuse pulmonary edema. Hence, this case confirms that delayed death in near hanging may occur. Pulmonary edema which develops subsequently in such patients is an uncommon mechanism of death that physicians should consider in emergency room.

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.

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