Acquired laryngomalacia of the epiglottis. Case report and review of the literature

被引:7
作者
Echternach, M. [1 ]
Arndt, S. [2 ]
Markl, M. [3 ]
Richter, B. [1 ]
Breyer, T. [4 ,5 ]
机构
[1] Univ Klin Freiburg, Freiburger Zentrum Musikermed, D-79106 Freiburg, Germany
[2] Univ Klin Freiburg, Klin & Poliklin Hals Nasen & Ohrenheilkunde, D-79106 Freiburg, Germany
[3] Univ Klin Freiburg, Rontgendiagnost Abt, MR Phys, D-79106 Freiburg, Germany
[4] Univ Klin Freiburg, Sekt Neuroradiol, D-79106 Freiburg, Germany
[5] Univ Klin Essen, Inst Radiol, Essen, Germany
关键词
Laryngomalacia; Acquired; Adult; MRI; Dyspnea;
D O I
10.1007/s00106-008-1756-4
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Reports on acquired traumatic laryngomalacia appear only rarely in the literature. We report a case of a 47-year-old patient with breathlessness after a transcervical approach to the spine during general anesthesia with intubation. Laryngostroboscopy revealed a smooth and, during inspiration, retroflexed epiglottis at the posterior pharyngeal wall. Additionally, dynamic magnetic resonance imaging for the first time showed hypermobility of the upper edge of the epiglottis. After partial laser epiglottectomy, the patient's complaints disappeared.
引用
收藏
页码:1233 / 1238
页数:6
相关论文
共 18 条
[1]  
ARCHER SM, 1992, ARCH OTOLARYNGOL, V118, P654
[2]   Recurrent laryngeal nerve injury with anterior cervical spine surgery - Risk with laterality of surgical approach [J].
Beutler, WJ ;
Sweeney, CA ;
Connolly, PJ .
SPINE, 2001, 26 (12) :1337-1342
[3]   Epiglottic hematoma leading to airway obstruction after general anesthesia [J].
Brown, I ;
Kleinman, B .
JOURNAL OF CLINICAL ANESTHESIA, 2002, 14 (01) :34-35
[4]   ETIOLOGY OF STRIDOR IN THE NEONATE, INFANT AND CHILD [J].
HOLINGER, LD .
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1980, 89 (05) :397-400
[5]  
HOLINGER LD, 1989, LARYNGOSCOPE, V99, P136
[6]   INTUBATION LESIONS OF LARYNX [J].
KAMBIC, V ;
RADSEL, Z .
BRITISH JOURNAL OF ANAESTHESIA, 1978, 50 (06) :587-590
[7]  
KLETZKER GR, 1990, LARYNGOSCOPE, V100, P375
[8]   Laryngeal morbidity and quality of tracheal intubation - A randomized controlled trial [J].
Mencke, T ;
Echternach, M ;
Kleinschmidt, S ;
Lux, P ;
Barth, V ;
Plinkert, PK ;
Fuchs-Buder, T .
ANESTHESIOLOGY, 2003, 98 (05) :1049-1056
[9]   Does the timing of tracheal intubation based on neuromuscular monitoring decrease laryngeal injury? A randomized, prospective, controlled trial [J].
Mencke, T ;
Echternach, M ;
Plinkert, PK ;
Johann, U ;
Afan, N ;
Rensing, F ;
Noeldge-Schomburg, G ;
Knoll, H ;
Larsen, R .
ANESTHESIA AND ANALGESIA, 2006, 102 (01) :306-312
[10]   Acquired laryngomalacia as a cause of airway obstruction immediately after unilateral mouth floor surgery [J].
Mima, H ;
Ishida, H ;
Yamazaki, K .
ANAESTHESIA, 1996, 51 (12) :1152-1154