Idiopathic Supraglottic Stenosis Refractory to Multiple Interventions Improved With Serial Office-based Steroid Injections

Matthew R Hoffman; Johnny P Mai; Seth H Dailey

doi:10.1016/j.jvoice.2017.09.016

$Idiopathic Supraglottic Stenosis Refractory to Multiple Interventions Improved With Serial Office-based Steroid Injections$

Journal article

Peer reviewed

Idiopathic Supraglottic Stenosis Refractory to Multiple Interventions Improved With Serial Office-based Steroid Injections

Matthew R Hoffman, Johnny P Mai and Seth H Dailey

Journal of voice, Vol.32(6), pp.767-769

11/2018

DOI: 10.1016/j.jvoice.2017.09.016

PMID: 29097011

View Online

Abstract

The objective of this study was to describe a patient with idiopathic supraglottic stenosis who experienced persistent disease despite multiple office-based and operative interventions, whose disease is now better controlled with scheduled serial office-based steroid injections. This is a case report and literature review. A 42-year-old female was referred for worsening supraglottic stenosis despite systemic steroids. She underwent awake tracheotomy. A thorough historical, histologic, and laboratory workup did not reveal an etiology to her stenosis. She later underwent endoscopic partial laryngectomy and was able to be decannulated. She underwent a second endoscopic partial laryngectomy two years later for worsening disease and then was managed over the next seven years with intermittent systemic steroids. Over the last year, she has undergone eight office-based steroid injections with improvement in her degree of stenosis and symptom burden. There are only four prior reported cases of idiopathic supraglottic stenosis, none of which has been managed with serial office-based steroid injections. This case report adds to the small body of literature on the management of this rare disease and proposes a new office-based treatment pathway that may help induce regression of stenosis.

Adult

Airway Obstruction - diagnosis

Airway Obstruction - drug therapy

Airway Obstruction - physiopathology

Airway Obstruction - surgery

Female

Glucocorticoids - administration & dosage

Humans

Injections

Laryngectomy - methods

Laryngoscopy

Laryngostenosis - diagnosis

Laryngostenosis - drug therapy

Laryngostenosis - physiopathology

Laryngostenosis - surgery

Larynx - drug effects

Larynx - physiopathology

Larynx - surgery

Office Visits

Recovery of Function

Reoperation

Treatment Outcome

Triamcinolone Acetonide - administration & dosage

Details

Title: Subtitle: Idiopathic Supraglottic Stenosis Refractory to Multiple Interventions Improved With Serial Office-based Steroid Injections
Creators: Matthew R Hoffman - University of Wisconsin School of Medicine and Public Health
Johnny P Mai - University of Wisconsin–Madison
Seth H Dailey - University of Wisconsin–Madison
Resource Type: Journal article
Publication Details: Journal of voice, Vol.32(6), pp.767-769
DOI: 10.1016/j.jvoice.2017.09.016
PMID: 29097011
ISSN: 0892-1997
eISSN: 1873-4588
Language: English
Date published: 11/2018
Academic Unit: Otolaryngology
Record Identifier: 9984366377202771

Metrics

7 Record Views

4 Times Cited - Web of Science