A Case Report of the Idiopathic Glanulomatous Subglottic Stenosis.

概要

論文の詳細を見る
We report the clinical course of a severe case of idiopathic granulomatous subglottic stenosis and present a treatment protocol. A 25-year-old male complained of cough, occasional dyspnea and hoarseness. Fiberscopic examination revealed a large subglottic reddish brown tumor with a rough surface. Vocal cord mobility was normal and neck examination revealed no lymphadenopathy. Tomography and CT confirmed the presence of the mass occupying the majority of the subglottic space with no evidence of cricoid cartilage, tracheal ring or thyroid gland extension. Biopsy results performed under laryngomicrosurgery were consistent with granulomatous disease. Under general anesthesia, the cricoid cartilage and first tracheal ring were incised exposing the tumor within the lumen, which was removed by curettage. The eroded surface was cauterized with the CO2 LASER. A silicon tube was then positioned within the subglottic and tracheal lumen as a stent after which the cut ends of the cricoid cartilage and tracheal rings were reapproximated. On the 18th postoperative day, the silicon stent was removed and replaced with a T-tube. On the 48th postoperative day, the T-tube was removed. The stoma was closed on the 55th postoperative day. Follow up one and a half years after the initial surgery showed the patient to have a normal voice and no evidence of recurrent disease.
特定非営利活動法人日本気管食道科学会の論文