scholarly journals Internal Laryngocele: Unusual onset in a 91-year-old female patient

2018 ◽  
Vol 18 (1) ◽  
pp. 104 ◽  
Author(s):  
Maria. C Spinosi ◽  
Chiara Mezzedimi ◽  
Giovanni Monciatti ◽  
Desiderio Passali
Keyword(s):  
Airway Obstruction ◽  
Considerable Effort ◽  
Emergency Intervention ◽  
Normal Breathing ◽  
Threatening Condition ◽  
Life Threatening ◽  
Subglottic Space ◽  
Santa Maria ◽  
Emergency Tracheotomy ◽  
Severe Dyspnoea

While internal laryngoceles rarely cause major clinical complaints, they may lead to airway obstruction and require emergency intervention on rare occasions. We report a 91-year-old patient who was referred to the Ear, Nose & Throat Clinic of the Policlinico Santa Maria alle Scotte, Siena, Italy, in 2017 due to recurrent episodes of severe dyspnoea. A flexible nasopharyngolaryngoscopic examination revealed an internal laryngocele of approximately 1.5 cm in diameter that moved up and down the glottic plane, occasionally invading the subglottic space during inspiration and impeding airflow. This caused cyanosis and dyspnoea so severe that an emergency tracheotomy was considered. Luckily, after considerable effort, the patient was able to cough, causing the mass to move above the vocal plane and allowing normal breathing. The laryngocele was subsequently removed via laryngomicrosurgery. Although the incidence of internal laryngoceles is quite rare, physicians should consider this potentially life-threatening condition among patients with dyspnoea.

Acute Edema of the Tongue: A Life-Threatening Condition

2003 ◽  
Vol 112 (7) ◽  
pp. 651-653 ◽  
Author(s):  
Hussein Gadban ◽  
Yoav Talmon ◽  
Peter Gilbey ◽  
Alvin Samet
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Emergency Intervention ◽  
First Case ◽  
Threatening Condition ◽  
Life Threatening

Acute macroglossia is rare, but may cause upper airway obstruction requiring emergency intervention. The cause of the problem is often obscure. Edema of the tongue may be due to angioedema or to allergy. We present several cases of acute edema of the tongue, in 3 cases causing life-threatening airway obstruction. Among these, we present the first case of acute enlargement of the tongue due to the ingestion of artichoke.

scholarly journals Emergent thyroidectomy with sternotomy due to acute respiratory failure with severe thyroid storm

2018 ◽  
Vol 100 (8) ◽  
pp. e223-e225
Author(s):  
A Matsushita ◽  
S Hosokawa ◽  
D Mochizuki ◽  
J Okamura ◽  
K Funai ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Airway Obstruction ◽  
Total Thyroidectomy ◽  
Upper Airway ◽  
Thyroid Storm ◽  
Graves Disease ◽  
Nasal Intubation ◽  
Threatening Condition ◽  
Life Threatening

Huge cervical and mediastinal masses may lead to acute respiratory failure caused by laryngotracheal compression and airway obstruction. Thyroid storm is also a life-threatening endocrine emergency originating almost exclusively from uncontrolled Graves’ disease. We report a case of a 42-year-old man with acute upper airway obstruction and tachycardia from progressive swelling of a giant thyroid, in conjunction with thyroid storm resulting from uncontrolled Graves’ disease. Fibreoptic-assisted nasal intubation was performed while the patient was awake, immediately followed by emergency total thyroidectomy via a cervical and sternal approach. The patient had an uneventful postoperative course and recovered well. Respiratory failure due to swelling of a giant thyroid is a life-threatening condition and should be treated immediately with endotracheal intubation while the patient is awake following emergent total thyroidectomy, even with a sternotomy.

scholarly journals The use of a Fogarty Catheter in a Case of an Endobronchial Blood Clot in a Laryngectomy Patient

2015 ◽  
Vol 6 (3) ◽  
pp. 118-120
Author(s):  
Billy Wong
Keyword(s):  
Airway Obstruction ◽  
Blood Clot ◽  
Rigid Bronchoscopy ◽  
Clinical Settings ◽  
Fogarty Catheter ◽  
Upper Respiratory Tract ◽  
Threatening Condition ◽  
Life Threatening ◽  
Conventional Methods ◽  
Head Neck

ABSTRACT Introduction Endobronchial blood clot causing airway obstruction is a rare but potentially life-threatening condition and can occur in a variety of clinical settings. Case report A male laryngectomy, with a background of bronchogenic carcinoma was treated conservatively for tracheitis following an episode of upper respiratory tract infection. However, he later developed airway obstruction secondary to endobronchial bleeding with endobronchial clot formation. Conventional methods of suctioning and rigid bronchoscopy with forceps failed to remove the hematoma. A Fogarty embolec tomy catheter was used to remove the hematoma, relieving the airway obstruction. Discussion The Fogarty embolectomy catheter has been widely used in various vascular operations for removal of arterial and venous emboli over the last years. However, its application in nonvascular cases is not widely published. Conclusion We report a case of tracheitis, complicated by an endobronchial clot in a laryngectomy patient, and demonstrated the use of Fogarty embolectomy catheter in such case when conventional methods fail. How to cite this article Wong B. The use of a Fogarty Catheter in a Case of an Endobronchial Blood Clot in a Laryn gectomy Patient. Int J Head Neck Surg 2015;6(3):118120.

scholarly journals Prenatal diagnosis of congenital high airway obstruction syndrome (CHAOS). Five case report.

2015 ◽  
Vol 17 (1) ◽  
pp. 115 ◽  
Author(s):  
Halil Aslan ◽  
Ali Ekiz ◽  
Deniz Kanber Acar ◽  
Burchan Aydiner ◽  
Basak Kaya ◽  
...  
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Airway Obstruction ◽  
Laryngeal Atresia ◽  
Tertiary Center ◽  
Ultrasound Findings ◽  
Threatening Condition ◽  
Life Threatening

Congenital high airway obstruction syndrome (CHAOS) is an extremely rare life-threatening condition. Laryngeal atresia appears to be the most frequent cause. Generally the diagnosis is made with severely enlarged and highly echogenic lungs and additional ultrasound findings. The prognosis of the affected infants is often poor. Five cases are reported here that were diagnosed in a tertiary center between 2008 and 2014.

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 Epignathus with Fetiform Features

2011 ◽  
Vol 3 (01) ◽  
pp. 056-058 ◽  
Author(s):  
Kumar Sunil Y. ◽  
Shrikrishna U. ◽  
Jayaprakash Shetty ◽  
Aishwarya Sitaram
Keyword(s):  
Prenatal Diagnosis ◽  
Airway Obstruction ◽  
Endotracheal Intubation ◽  
High Mortality ◽  
Neonatal Period ◽  
Complete Resection ◽  
Immature Teratoma ◽  
Male Baby ◽  
Threatening Condition ◽  
Life Threatening

ABSTRACTEpignathus is an extremely rare oropharyngeal teratoma that commonly arises from the palate, leading to a high mortality (80-100%) due to airway obstruction in the neonatal period. We present a case of epignathus immature teratoma with fetiform features, originating from basisphenoid in a 28-week preterm male baby, who succumbed to death immediately after birth. Since epignathus is a life-threatening condition at the time of delivery, a prenatal diagnosis is essential to coordinate the treatment and appropriate management by securing the airway, either by endotracheal intubation or tracheostomy followed by complete resection of the tumor.

scholarly journals Congenital high airway obstruction syndrome: prenatal ultrasound diagnosis and literature review

2020 ◽  
Vol 1 (2) ◽  
pp. 144-148
Author(s):  
Bashiru B Jimah ◽  
Teresa A Mensah ◽  
Kofi Ulzen-Appiah ◽  
Benjamin D Sarkodie ◽  
Edwin Gwira-Tamattey ◽  
...  
Keyword(s):  
Literature Review ◽  
Airway Obstruction ◽  
Second Trimester ◽  
Upper Airways ◽  
Fetal Demise ◽  
True Incidence ◽  
Laryngeal Atresia ◽  
Ex Utero Intrapartum Treatment ◽  
Threatening Condition ◽  
Life Threatening

Congenital high airway obstruction syndrome (CHAOS) is a rare congenital anomaly involving the upper airways (trachea, larynx). It is a life-threatening condition whose true incidence is unknown. The obstruction may be due to tracheal/laryngeal atresia, stenosis, or the presence of a mass lesion. Prognosis is poor, generally resulting in stillbirth or intrauterine fetal demise. Ex utero intrapartum treatment (EXIT) is possible if the condition is detected early. We present a case of CHAOS diagnosed during a second-trimester anomaly scan with postmortem confirmation and literature review.

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 Endotracheal Obstruction by A Giant Blood Clot Following Tonsil Hemorrhage: A Case Report

2020 ◽  
Author(s):  
Binbin Ren ◽  
Qing Wang ◽  
Hongying Ni ◽  
Jie Chang ◽  
Kun Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Airway Obstruction ◽  
Endotracheal Tube ◽  
Blood Clot ◽  
Clot Formation ◽  
Central Airway Obstruction ◽  
Threatening Condition ◽  
Life Threatening ◽  
Central Airway

Abstract Background: Clot formation along airway can lead to airway obstruction, causing life-threatening condition to the patient. However, blood from the oral cavity flowing down the endotracheal tube and forming a giant blood clot in the airway is rarely reported.Case presentation: Here we present a case of central airway obstruction by a blood clot due to tonsil bleeding, which was managed with timely procedure. Conclusions:The case do give us further educational meaning when such patient presented.

scholarly journals Prenatal Diagnosis and Pathology of Laryngeal Atresia in Congenital High Airway Obstruction Syndrome

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Piya Chaemsaithong ◽  
Tharintorn Chansoon ◽  
Boonsri Chanrachakul ◽  
Suchin Worawichawong ◽  
Sansanee Wongwaisayawan ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Prenatal Diagnosis ◽  
Airway Obstruction ◽  
Pathological Examination ◽  
Congenital Cystic Adenomatoid Malformation ◽  
External Compression ◽  
Laryngeal Atresia ◽  
Threatening Condition ◽  
Life Threatening ◽  
Elective Termination

Congenital high airway obstruction syndrome is a rare but life-threatening condition. Therefore, prenatal diagnosis is important. The obstruction can be due to laryngeal/tracheal atresia or external compression. While a differential diagnosis with congenital cystic adenomatoid malformation (CCAM) type III may be difficult, it is still possible with ultrasonography. In this study, we report a case of bilateral echogenic lungs with hydrops fetalis. After the prenatal diagnosis of laryngeal atresia, the couple opted to have an elective termination of pregnancy performed at 20 weeks of gestation. The diagnosis was confirmed by a complete pathological examination.

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