Journal of Postgraduate Medicine, Education and Research

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VOLUME 54 , ISSUE 2 ( April-June, 2020 ) > List of Articles

CASE REPORT

Isolated Pediatric Supraglottic Stenosis Managed Using Plasma Ablation: A Case Report

Shivjee Prasanth, Sachin Singh, Joseph L Mathew

Keywords : Decannulation, Dysphagia, Plasma ablation, Supraglottic stenosis

Citation Information : Prasanth S, Singh S, Mathew JL. Isolated Pediatric Supraglottic Stenosis Managed Using Plasma Ablation: A Case Report. J Postgrad Med Edu Res 2020; 54 (2):62-63.

DOI: 10.5005/jp-journals-10028-1369

License: CC BY-NC 4.0

Published Online: 30-07-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

We describe the technique of plasma ablation (PA) used for releasing supraglottic stenosis (SS). Supraglottic stenosis is associated with the history of airway manipulation or surgery causing chronic laryngeal edema and thereby stenosis. This usually manifests as decannulation failures and often associated with dysphagia and aspiration. A child presented to the emergency with distress following ingestion of green chillis and was intubated. Further developed aspiration pneumonia and fiberoptic endoscopy revealed cricopharyngeal stricture (CPS) and SS. Child was taken up for the release with PA and decannulated successfully. Supraglottic stenosis can be safely treated using PA as an alternative to LASER.


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  1. Walner DL, Holinger LD. Supraglottic stenosis in infants and children: a preliminary report. Archiv Otolaryngol–Head Neck Surg 1997;123(3):337–341. DOI: 10.1001/archotol.1997.01900030123015.
  2. Chen YW, Lai SH, Fang TJ, et al. Pediatric dyspnea caused by supraglottic stenosis: a rare complication of alkali corrosive injury. Europ Archiv Oto-Rhino-Laryngol Head Neck 2006;263(3):210–214. DOI: 10.1007/s00405-005-1011-5.
  3. Berlucchi M, Barbieri D, Garofolo S, et al. Case report: pharyngolaryngeal stenosis in a child due to caustic ingestion treated with transoral CO2 laser microsurgery. Annal Otol, Rhinol Laryngol 2014;123(12):847–851. DOI: 10.1177/0003489414538938.
  4. Stevens MS, Chang A, Simpson CB. Supraglottic stenosis: etiology and treatment of a rare condition. Annal Otol, Rhinol Laryngol 2013;122(3):205–209. DOI: 10.1177/000348941312200310.
  5. Virk RS, Bansal S, Nayak G. Plasma ablation–assisted endoscopic management of postintubation laryngotracheal stenosis: an alternate tool for management. Otolaryngol–Head Neck Surg 2019;161(6):993–995. DOI: 10.1177/0194599819881439.
  6. Virk RS, Mathew JL, Behera S, et al. Endoscopic assisted coblation of congenital vallecular cyst–a novel technique. Indian J Pediatr 2016;83(8):888–889. DOI: 10.1007/s12098-016-2095-1.
  7. Gautam V, Basotia A, Virk R. Neonatal vallecular cyst: unusual presentation with near catastrophic respiratory distress and successful treatment using endoscopy-assisted plasma ablation: a case report. J Postgrad Med Edu Res 2020;54(1):15–16. DOI: 10.5005/jp-journals-10028-1349.
  8. Virk RS, Nayak G, Jain D. Miller laryngoscope blade: an aid to pediatric laryngeal surgery. Indian J Otolaryngol Head Neck Surg 2019;71(1):19–21. DOI: 10.1007/s12070-018-1501-6.
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