scholarly journals Chronic Lymphocytic Leukemia as an Unusual Cause of Rapid Airway Compromise

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Adrian R. Bersabe ◽  
Joshua T. Romain ◽  
Erin E. Ezzell ◽  
John S. Renshaw
Keyword(s):  
Chronic Lymphocytic Leukemia ◽  
Airway Obstruction ◽  
Head And Neck ◽  
Cervical Lymphadenopathy ◽  
Upper Airway ◽  
Lymphocytic Leukemia ◽  
Upper Airway Obstruction ◽  
Airway Compromise ◽  
History Of ◽  
Prevalent Form

Chronic Lymphocytic Leukemia (CLL) is the most prevalent form of non-Hodgkin’s lymphoma (NHL) in Western countries predominantly affecting adults over the age of 65. CLL is commonly indolent in nature but can present locally and aggressively at extranodal sites. Although CLL may commonly present with cervical lymphadenopathy, manifestation in nonlymphoid regions of the head and neck is not well described. CLL causing upper airway obstruction is even more uncommon. We describe a case of a patient with known history of CLL and stable lymphocytosis that developed an enlarging lymphoid base of tongue (BOT) mass resulting in rapid airway compromise.

scholarly journals Angiofibrolipoma of the soft palate: A very rare cause of upper air way obstruction in an infant.

2020 ◽  
Vol 6 (1) ◽  
pp. 45-48
Author(s):  
Sonam Gyamtsho
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Soft Palate ◽  
Rare Case ◽  
Upper Airway ◽  
Female Child ◽  
Airway Compromise ◽  
Bipolar Cautery ◽  
History Of ◽  
Infant Case

Introduction: Infants and children are very prone to air way obstruction due to smaller and immature air ways. There are multiple causes of upper airway obstruction in infants like infections, congenital lesions and rarely tumours of the upper airway. However, angiofibrolipoma, a rare variant of lipoma causing intermittent respiratory distress in an infant has not been reported until now. Objective: To report a very rare case of angiofibrolipoma arising from the soft palate in an infant. Case report: Two and half months old female child reported to the department of otolaryngology with a history of intermittent airway obstruction since one month of age. After evaluation she was found to have a fleshy polypoidal mass above the laryngeal inlet arising from soft palate causing airway compromise. She underwent surgical excison with bipolar cautery under general anaesthesia. Conclusion: Few cases of angiofibrolipoma has been reported in adults but none has been reported in children. This is to report a case of angiofibrolipoma in child causing airway obstruction.

Chronic Alveolar Hypoventilation Secondary to Macroglossia in the Beckwith-Wiedemann Syndrome

PEDIATRICS ◽  
1982 ◽  
Vol 70 (5) ◽  
pp. 695-697 ◽  
Author(s):  
Dean F. Smith ◽  
Frederick G. Mihm ◽  
Michael Flynn
Keyword(s):  
Pulmonary Hypertension ◽  
Airway Obstruction ◽  
Early Recognition ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Morbidity And Mortality ◽  
Airway Compromise ◽  
Alveolar Hypoventilation

Chronic upper airway obstruction has been shown to cause secondary reversible pulmonary hypertension. Many pathophysiologic processes can produce such obstruction. A 3-month-old child with Beckwith-Wiedemann syndrome who manifested chronic upper airway obstruction secondary to macroglossia is reported. Early recognition and therapy of airway compromise may decrease morbidity and mortality in this syndrome and others in which macroglossia is present.

Acute upper airway obstruction following Teflon injection of a vocal cord; the value of nebulized adrenaline and a helium/oxygen mixture in its management

1990 ◽  
Vol 104 (8) ◽  
pp. 654-655 ◽  
Author(s):  
Neil B. Solomons ◽  
Jonathan R. Livesey
Keyword(s):  
Airway Obstruction ◽  
Vocal Cord ◽  
Upper Airway ◽  
Vocal Cord Palsy ◽  
Upper Airway Obstruction ◽  
Oxygen Mixture ◽  
Post Operative Period ◽  
History Of ◽  
The Right

AbstractA 67-year-old man presented with a 45-year history of a weak voice. This was the result of polio which had left him with a right vocal cord palsy.The patient underwent a Teflon injection of the right vocal cord under general anaesthesia to improve the quality of his voice. In the immediate post-operative period, he suffered acute upper airway obstruction. The problem of acute upper airway obstruction following Teflon injection is considered and its management with nebulized adrenaline and a helium/oxygen mixture is discussed.

Head and Neck Manifestations of Beckwith-Wiedemann Syndrome

1995 ◽  
Vol 113 (3) ◽  
pp. 262-265 ◽  
Author(s):  
Frank L. Rimell ◽  
Andrew M. Shapiro ◽  
David L. Shoemaker ◽  
Margaret A. Kenna
Keyword(s):  
At Risk ◽  
Airway Obstruction ◽  
Head And Neck ◽  
Upper Airway ◽  
Cor Pulmonale ◽  
Congenital Disorder ◽  
Upper Airway Obstruction ◽  
Tongue Reduction ◽  
Adenoidal Hypertrophy

Beckwith-Wiedemann syndrome is a congenital disorder manifested by organomegaly, omphalocele, hypoglycemia, and macroglossia. We have found a significant number of these children to be at risk for upper airway obstruction during infancy or childhood. In this review of 13 children, 2 required tracheotomy during infancy for cor pulmonale caused by macroglossia. Seven of nine children older than 1 year required tonsillectomy and adenoidectomy to relieve upper airway obstruction. Although macroglossia can be a cause of airway obstruction in infants with Beckwith-Wiedemann syndrome, we have found that airway obstruction during childhood is related to tonsillar and adenoidal hypertrophy and not to macroglossia. Anterior tongue reduction is reserved for the correction of malocclusion, articulation errors, or cosmesis, whereas tonsillectomy and adenoidectomy may be curative of obstructive symptoms.

Mediastinal tuberculosis in a 10-month-old child

2001 ◽  
Vol 115 (2) ◽  
pp. 161-163 ◽  
Author(s):  
Aftab Ahmed ◽  
Showkat Mirza ◽  
Michael P. Rothera
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Rare Case ◽  
Mediastinal Mass ◽  
Histological Analysis ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Mediastinal Lymphadenopathy ◽  
X Rays ◽  
History Of

We report a rare case of mediastinal tuberculosis in a child who presented as a possible inhaled foreign body. A 10-month-old girl was admitted with a five-month history of cough, wheeze and problematic feeding, thought initially to be due to asthma. A clinical deterioration and subsequent X-rays suggested an inhaled foreign body. However, at direct laryngotracheobronchoscopy no foreign body was found and subsequent investigations revealed a subcarinal mediastinal mass. She underwent a thoracotomy and excision of the mass, the histological analysis of which revealed it to be of tuberculous origin. When a patient presents with symtoms of upper airway obstruction which are highly suggestive of a foreign body, other causes such as mediastinal tuberculosis must be borne in mind when no foreign body can be found. Although rare, cases of tuberculosis are apparently increasing and the otolaryngolgoist must be aware of its various manifestations and submit specimens for appropriate analysis. We also briefly review mediastinal lymphadenopathy due to tuberculosis.

Failed tracheostomy under local anaesthesia…plan B?

2006 ◽  
Vol 120 (10) ◽  
pp. 882-884 ◽  
Author(s):  
B Maiya ◽  
H L Smith
Keyword(s):  
Airway Obstruction ◽  
Local Anaesthesia ◽  
Upper Airway ◽  
Management Plan ◽  
Upper Airway Obstruction ◽  
Fibre Optic ◽  
Short History ◽  
Recent Onset ◽  
Relative Contraindication ◽  
History Of

Severe stridor of recent onset is a challenge to deal with because of the lack of investigations on which to base the management plan. We describe a case of an elderly lady who presented to us with a short history of severe stridor. We encountered unanticipated difficulties with tracheostomy under local anaesthesia as the thyroid was replaced by a diffuse mass and the airway had to be secured by an awake fibre-optic intubation. Awake fibre-optic intubation is thought to be a relative contraindication in acute upper airway obstruction, but occasionally tracheostomy under local anaesthesia may not be possible and in experienced hands an awake fibre-optic intubation is a reasonable alternative.

scholarly journals A Rare Cause of Upper Airway Obstruction in a Child

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
H. Ahmed ◽  
C. Ndiaye ◽  
M. W. Barry ◽  
Aliou Thiongane ◽  
A. Mbaye ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Respiratory Infections ◽  
Previous History ◽  
Upper Airway ◽  
Rare Condition ◽  
Upper Airway Obstruction ◽  
Complete Excision ◽  
Severe Respiratory Distress ◽  
History Of ◽  
Laryngeal Dyspnea

Ventricular band cyst is a rare condition in children but can result in severe upper airway obstruction with laryngeal dyspnea or death. The diagnosis should be considered in any stridor in children with previous history of intubation or respiratory infections. We report a case of a 4-year-old girl, received in an array of severe respiratory distress, emergency endoscopy was done, and a large ventricular tape band cyst obstructing the air way was found. Complete excision was made, and postoperative prophylaxis tracheotomy was done. The postoperative course was uneventful with improvement of clinical and endoscopic signs.

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