Stridor due to a bridge-like subglottic stenosis in a 10-week-old male infant

Int J Pediatr Otorhinolaryngol. 2009 Jan;73(1):159-62. doi: 10.1016/j.ijporl.2008.09.029. Epub 2008 Nov 18.

Abstract

We present an infant with post-intubation stridor caused by a bridge-like subglottic stenosis. At the age of 6 weeks he suffered from a RSV infection with the need for endotracheal intubation. At week 10 acute respiratory distress required a re-intubation. Flexible endoscopy was suggestive for laryngomalacia. Rigid endoscopy revealed a subglottic laterolateral mucosal bridge resulting in a doubling of the airway lumen. Histopathological examination showed a fibrinoid pseudomembrane. Follow up endoscopy showed a grade 1 posterior subglottic stenosis without respiratory compromise. This is the first case in the literature of an infant with a post-intubation bridge-like fibrinoid pseudomembranous subglottic lesion.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Infant
  • Intubation, Intratracheal / adverse effects*
  • Laryngostenosis / etiology*
  • Laryngostenosis / pathology*
  • Laryngostenosis / surgery
  • Male
  • Respiratory Sounds / etiology*
  • Respiratory Tract Infections / therapy
  • Superinfection / therapy