A 10-year-old Child with Severe Subglottic Stenosis Following Intubation: A Case Report
Background: Subglottic stenosis is among the most common airway problems in children, i.e., acquired or congenital. More than 90% of acquired cases are secondary to endotracheal intubation and occur iatrogenically. Subglottic stenosis is an unexpected problem that requires timely diagnosis and in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | fas |
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Qazvin University of Medical Sciences & Health Services
2021-04-01
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| Series: | The Journal of Qazvin University of Medical Sciences |
| Subjects: | |
| Online Access: | https://journal.qums.ac.ir/article-1-3036-en.html |
| _version_ | 1818956913449107456 |
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| author | Venus Chegini Victoria Chegini Mahdis Esfahani Hossein Moeini |
| author_facet | Venus Chegini Victoria Chegini Mahdis Esfahani Hossein Moeini |
| author_sort | Venus Chegini |
| collection | DOAJ |
| description | Background: Subglottic stenosis is among the most common airway problems in children,
i.e., acquired or congenital. More than 90% of acquired cases are secondary to endotracheal
intubation and occur iatrogenically. Subglottic stenosis is an unexpected problem that requires
timely diagnosis and intervention. Most cases of subglottic stenosis in children are mild to
moderate.
Case Presentation: The presented patient was a 10-year-old child who, after long intubation due
to head trauma following early discharge from the surgical center, was referred to the Children’s
Hospital on the same day with a complaint of high fever and shortness of breath. With the
development of respiratory distress and cyanosis, the patient was transferred to the intensive care
unit. Due to the impossibility of passing the tracheal tube with the appropriate age for the patient,
the initial diagnosis of subglottic stenosis was established and a tracheostomy was performed.
Diagnostic bronchoscopy confirmed severe subglottic stenosis, and the child was referred to a
specialized Ear, Nose, Throat (ENT) center for the repair of the tracheal stenosis.
Conclusion: One of the most common causes of stridor in children is subglottic stenosis
following prolonged intubation. Recognizing the predisposing factors, prevention, strong
clinical suspicion, timely diagnosis, and treatment can prevent further adverse complications or
consequences in children. |
| first_indexed | 2024-12-20T11:01:30Z |
| format | Article |
| id | doaj.art-db800dce86784a57bb8215b775167d10 |
| institution | Directory Open Access Journal |
| issn | 1561-3666 2228-7213 |
| language | fas |
| last_indexed | 2024-12-20T11:01:30Z |
| publishDate | 2021-04-01 |
| publisher | Qazvin University of Medical Sciences & Health Services |
| record_format | Article |
| series | The Journal of Qazvin University of Medical Sciences |
| spelling | doaj.art-db800dce86784a57bb8215b775167d102022-12-21T19:43:01ZfasQazvin University of Medical Sciences & Health ServicesThe Journal of Qazvin University of Medical Sciences1561-36662228-72132021-04-012513944http://dx.doi.org/10.32598/JQUMS.25.1.4A 10-year-old Child with Severe Subglottic Stenosis Following Intubation: A Case ReportVenus Chegini0Victoria Chegini1Mahdis Esfahani2Hossein Moeini3Department of Laparoscopic Obstetrics and Gynecology, Faculty of Medicine, Qazvin University of Medical Sciences, Qazvin, IranDepartment of Pediatrics, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranClinical Research Development Unit, Qods Hospital, Qazvin University of Medical Sciences, Qazvin, IranDepartment of Pediatric Anesthesia, Children Growth Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, IranBackground: Subglottic stenosis is among the most common airway problems in children, i.e., acquired or congenital. More than 90% of acquired cases are secondary to endotracheal intubation and occur iatrogenically. Subglottic stenosis is an unexpected problem that requires timely diagnosis and intervention. Most cases of subglottic stenosis in children are mild to moderate. Case Presentation: The presented patient was a 10-year-old child who, after long intubation due to head trauma following early discharge from the surgical center, was referred to the Children’s Hospital on the same day with a complaint of high fever and shortness of breath. With the development of respiratory distress and cyanosis, the patient was transferred to the intensive care unit. Due to the impossibility of passing the tracheal tube with the appropriate age for the patient, the initial diagnosis of subglottic stenosis was established and a tracheostomy was performed. Diagnostic bronchoscopy confirmed severe subglottic stenosis, and the child was referred to a specialized Ear, Nose, Throat (ENT) center for the repair of the tracheal stenosis. Conclusion: One of the most common causes of stridor in children is subglottic stenosis following prolonged intubation. Recognizing the predisposing factors, prevention, strong clinical suspicion, timely diagnosis, and treatment can prevent further adverse complications or consequences in children.https://journal.qums.ac.ir/article-1-3036-en.htmlsubglottic stenosischildrenintensive careintubationbronchoscopy |
| spellingShingle | Venus Chegini Victoria Chegini Mahdis Esfahani Hossein Moeini A 10-year-old Child with Severe Subglottic Stenosis Following Intubation: A Case Report The Journal of Qazvin University of Medical Sciences subglottic stenosis children intensive care intubation bronchoscopy |
| title | A 10-year-old Child with Severe Subglottic Stenosis Following Intubation: A Case Report |
| title_full | A 10-year-old Child with Severe Subglottic Stenosis Following Intubation: A Case Report |
| title_fullStr | A 10-year-old Child with Severe Subglottic Stenosis Following Intubation: A Case Report |
| title_full_unstemmed | A 10-year-old Child with Severe Subglottic Stenosis Following Intubation: A Case Report |
| title_short | A 10-year-old Child with Severe Subglottic Stenosis Following Intubation: A Case Report |
| title_sort | 10 year old child with severe subglottic stenosis following intubation a case report |
| topic | subglottic stenosis children intensive care intubation bronchoscopy |
| url | https://journal.qums.ac.ir/article-1-3036-en.html |
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