scholarly journals A case of an emergency tracheotomy for glottic stenosis due to rheumatic cricoarytenoid arthritis

2021 ◽  
Vol 28 (4) ◽  
pp. 287-288
Author(s):  
Kazuhisa Hamada ◽  
Saya Yoshizawa ◽  
Masanao Miura ◽  
Takahiro Yamada ◽  
Keisuke Nishida
Keyword(s):  
Cricoarytenoid Arthritis ◽  
Emergency Tracheotomy

Acute Cricoarytenoid Arthritis: Local Periarticular Steroid Injection

1980 ◽  
Vol 89 (6) ◽  
pp. 558-562 ◽  
Author(s):  
George T. Simpson ◽  
Ahmad Javaheri ◽  
Parviz Janfaza
Keyword(s):  
Rheumatoid Arthritis ◽  
Airway Obstruction ◽  
Medical Management ◽  
Vocal Fold ◽  
Steroid Injection ◽  
Pertinent Literature ◽  
Cricoarytenoid Arthritis ◽  
One Year ◽  
Joint Ankylosis ◽  
Emergency Tracheotomy

Acute cricoarytenoid arthritis is a frequent complication of rheumatoid arthritis and the most frequent otolaryngologic manifestation of the disease. Over 25% of rheumatoid arthritis cases have discomfort from this problem. Other etiologies can produce cricoarytenoid arthritis. Symptoms range from mild discomfort through hoarseness to complete airway obstruction requiring emergency tracheotomy. Chronic cricoarytenoid arthritis may result in joint ankylosis and vocal fold fixation. Single periarticular triamcinolone injections may bring rapid and dramatic relief of the symptomatology of nonankylosed acute cricoarytenoid arthritis for periods of up to one year if other medical management is adequate. Six cases illustrate the problem and the efficacy of this treatment methodology. Findings, pathology and pertinent literature are discussed. Specific criteria for considering this technique are outlined. This form of therapy has not been described previously.

Tophaceous gout presenting as a dorsal nasal lump

2005 ◽  
Vol 119 (6) ◽  
pp. 492-494 ◽  
Author(s):  
J P Hughes ◽  
Silvana Di Palma ◽  
J Rowe-Jones
Keyword(s):  
Literature Review ◽  
Head And Neck ◽  
Soft Tissues ◽  
Neck Region ◽  
Endoscopic Technique ◽  
Tophaceous Gout ◽  
Head And Neck Region ◽  
Nasal Bones ◽  
Aesthetic Rhinoplasty ◽  
Emergency Tracheotomy

A literature review reveals that gout has been described as affecting many sites in the head and neck region, both in the arthritic and tophaceous form. Gout can often mimic malignancy or infection, and has been described as causing acute airway problems requiring emergency tracheotomy. Here we describe the first published case of tophaceous gout affecting the soft tissues overlying the nasal bones. The patient presented with a bony, hard, dorsal hump and requested aesthetic rhinoplasty.We also describe an endoscopic technique for removal of tophi using a powered microdebrider system with a protected burr head. Endoscopic powered microdebrider blade excision of tophi affecting the limbs has already been described, with reduced complications when compared with conventional curettage and debridement techniques. This is the first such application to the nose.

Laryngeal chondritis in two Dorper sheep

2020 ◽  
Vol 8 (3) ◽  
pp. e001196
Author(s):  
Antonio Carlos Lopes Câmara ◽  
José Renato Junqueira Borges ◽  
Rita de Cássia Campebell ◽  
Marcio Botelho de Castro ◽  
Benito Soto-Blanco
Keyword(s):  
Clinical Care ◽  
Cricoid Cartilage ◽  
Respiratory Condition ◽  
Laryngeal Mucosa ◽  
Uncommon Disease ◽  
Upper Respiratory ◽  
Dorper Sheep ◽  
Suppurative Inflammation ◽  
Emergency Tracheotomy ◽  
Laryngeal Stridor

Laryngeal chondritis is an acute obstructive upper respiratory condition characterised by severe dyspnoea and laryngeal stridor, considered an uncommon disease in sheep. In this study, we describe detailed clinical evolution, imaging and pathological findings of the first cases of laryngeal chondritis in Dorper sheep. Two Dorper sheep from different flocks were referred to clinical care with respiratory distress and fatigue. Due to dyspnoea, both sheep were submitted to emergency tracheotomy. Both sheep did not show recovery after treatment with antimicrobials and anti-inflammatories and died. Main gross findings observed in sheep 1 were purulent foci affecting cricoid cartilage and surrounding tissues. Sheep 2 presented with marked swelling of the laryngeal mucosa, reduced airway lumen and a pus-draining fistula in the arytenoid cartilage. Histologically, both cases revealed necrosis of the laryngeal cartilage, suppurative inflammation and abscedation within myriads of intralesional bacteria.

Laryngeal lupus erythematosus

1978 ◽  
Vol 92 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Geoffrey A. Smith ◽  
Paul H. Ward ◽  
George Berci
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Laryngeal Edema ◽  
Systemic Lupus ◽  
Upper Airways ◽  
Results Of Treatment ◽  
Number Of Patients ◽  
Cricoarytenoid Arthritis ◽  
Mucosal Thickening ◽  
Rule Out

AbstractTwo cases with laryngeal manifestations of systemic lupus erythematosus presented demonstrate the value of serial indirect laryngeal photography and results of treatment for the mucosal and serosal effects of the disease.Systemic lupus erythematosus is an autoimmune collagen vascular disease which produces widespread damage to connective tissue, blood vessels, serosal surfaces and mucous membranes (Rodman et ah, 1973). It is no surprise that with such a widespread disorder the upper airways too may show involvement.Estimates of the number of patients with laryngeal involvement have ranged from one percent by Dubois (1966) to one-third of patients by other authors (Babich and Tranaov, 1970; Minchina et al., 1971).Systemic lupus erythematosus may cause laryngeal symptoms referrable to an active mucosal, submucosal or serosal process. With acute flares of the disease, mucosal ulceration, edema, and submucosal hematomas may result in hoarseness and throat pain (Scarpelli et al., 1959). One case of epiglottitis caused by increased mucosal swelling has been reported (Toomey et al., 1974). As the disease progresses, late effects of mucosal disease including corditis, mucosal thickening, laryngeal scarring with stenosis and laryngitis with dry, thickened vocal cords may appear (Babich and Tramaov, 1970; Smith and Ferguson, 1976). With serosal involvement, the patient may demonstrate perichrondritis, cricoarytenoid arthritis or actual vocal cord paralysis (Dubois, 1966; Montgomery and Lofgren, 1963).Histopathologic study of involved mucosa along with cultures of the tissue is not diagnostic of systemic lupus erythematosus but can help to rule out other disorders similar in appearance such as tuberculosis and rhinoscleroma. Klebsiella rhinoscleromata infections particularly can cause a similar early inflammatory mucosal and late scarred picture.Microscopic sections of mucosa from a patient who died of laryngeal edema secondary to systemic lupus erythematosus appeared similar to mucosa from a patient with subglottic stenosis (Smith and Ferguson, 1976) with an infiltration of histiocytes, lymphocytes, plasma and mast cells.The following two cases demonstrate the differences in the course of serosal and mucosal airways disease.

Cricoarytenoid arthritis may be a case of emergency

1988 ◽  
Vol 7 (2) ◽  
pp. 288-290 ◽  
Author(s):  
J. B. M. Ten Holter ◽  
F. L. Van Buchem ◽  
H. J. Van Beusekom
Keyword(s):  
Cricoarytenoid Arthritis

CRICOARYTENOID ARTHRITIS DUE TO MUMPS

1973 ◽  
Vol 83 (3) ◽  
pp. 372-375 ◽  
Author(s):  
D Bryer ◽  
F J Rounthwaite
Keyword(s):  
Cricoarytenoid Arthritis

A SUGGESTED ROUTINE TECHNIQUE FOR EMERGENCY TRACHEOTOMY

1936 ◽  
Vol 46 (10) ◽  
pp. 800???806
Author(s):  
WM. B. CHAMBERLIN
Keyword(s):  
Emergency Tracheotomy

Bilateral Vocal Cord Paralysis with Shy-Drager Syndrome

1993 ◽  
Vol 109 (5) ◽  
pp. 911-914 ◽  
Author(s):  
Rohit Bawa ◽  
Hassan H. Ramadan ◽  
Stephen J. Wetmore
Keyword(s):  
Orthostatic Hypotension ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
English Literature ◽  
System Failure ◽  
Bilateral Vocal Cord Paralysis ◽  
Vocal Cord Paresis ◽  
Median Position ◽  
History Of ◽  
Emergency Tracheotomy

Shy-Drager syndrome consists of progressive autonomic nervous system failure with Parkinson's disease-like symptoms and orthostatic hypotension. It can also result in airway compromise from bilateral vocal cord paralysis. Fewer than 30 cases of severe bilateral vocal cord paresis or paralysis associated with the Shy-Drager syndrome have been reported in the English literature. We present a case of a 72-year-old man who had a 2-year history of orthostatic hypotension, neurogenic bladder, impotence, anhydrosis, and extremity weakness and paresthesias. Hoarseness and dyspnea with stridor developed as a result of bilateral vocal cord paralysis in the median position and required an emergency tracheotomy. This combination of symptoms resulted in the diagnosis of Shy-Drager syndrome. We present the case along with literature review of bilateral vocal cord paralysis with the Shy-Drager syndrome.

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