Posterior Glottic Stenosis

Česká verze

Authors: J. Schneiderová ¹; Karol Zeleník ^1,2 ; Pavel Komínek ^1,2
Authors place of work: Klinika otorinolaryngologie a chirurgie hlavy a krku, Fakultní nemocnice Ostrava ¹; Katedra kraniofaciálních oborů, Lékařská fakulta, Ostravská univerzita v Ostravě ²
Published in the journal: Otorinolaryngol Foniatr, 67, 2018, No. 2, pp. 67-70.
Category: Kazuistika

Summary

We present a case of a 75- year old man with posterior glottic stenosis and difficult breathing. It is necessary to differentiate posterior glottic stenosis from bilateral vocal cord paralysis. Posterior glottic stenosis with arytenoid fixation is an uncommon complication of laryngeal injury. Through etiologies vary, the most common is prolonged intubation. Injury of posterior commissure may lead to scar and fixation of one or both arytenoid cartilages in an adducted position. Bilateral fixation commonly causes dyspnea, dysphonia and tracheostomy dependence. Surgical treatment techniques for posterior glottic stenosis includes simple scar transection, suture lateralization according to Ejnell or Lichtenberger, posterior cordectomy and subtotal or total arytenoidectomy and posterior cricoid split using cartilage graft (usually form rib).

Keywords:

dyspnea, posterior glottic stenosis, arytenoidectomy, suture lateralization by Ejnell method, cordotomy

Zdroje

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