Medical Lasers

Korean Society for Laser Medicine and Surgery (대한의학레이저학회)
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CO2 Laser Microsurgery for Type 1 Posterior Glottic Stenosis Misdiagnosed as Bronchial Asthma: A Case Report

  • Ju, Yeo Rim (Department of Otolaryngology-Head and Neck Surgery, Dankook University College of Medicine) ;
  • Park, Hyoung Sik (Department of Otolaryngology-Head and Neck Surgery, Dankook University College of Medicine) ;
  • Lee, Sang Joon (Department of Otolaryngology-Head and Neck Surgery, Dankook University College of Medicine) ;
  • Woo, Seung Hoon (Department of Otolaryngology-Head and Neck Surgery, Dankook University College of Medicine)
  • Received : 2020.02.18
  • Accepted : 2020.03.14
  • Published : 2020.06.30
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Abstract

This paper reports a case of type 1 posterior glottic stenosis in a 60-year-old woman that was misdiagnosed as bronchial asthma. The patient was intubated at another hospital after ingesting herbicide and extubated seven days later. Although her voice changed, she had not received treatment at that time. She visited a local internal medicine clinic when her condition deteriorated to the point of dyspnea, but several months of treatment for bronchial asthma failed to improve her symptoms. Upon admission to the author's hospital, a laryngoscopic examination revealed a type 1 posterior glottic stenosis, which was removed surgically using a CO2 laser.

Keywords

References

  1. Meyer TK, Wolf J. Lysis of interarytenoid synechia (Type I Posterior Glottic Stenosis): vocal fold mobility and airway results. Laryngoscope 2011;121:2165-71. https://doi.org/10.1002/lary.22036
  2. Bogdasarian RS, Olson NR. Posterior glottic laryngeal stenosis. Otolaryngol Head Neck Surg (1979) 1980;88:765-72. https://doi.org/10.1177/019459988008800625
  3. Gardner GM. Posterior glottic stenosis and bilateral vocal fold immobility: diagnosis and treatment. Otolaryngol Clin North Am 2000;33:855-78. https://doi.org/10.1016/S0030-6665(05)70248-6
  4. Irving RM, Bailey CM, Evans JN. Posterior glottic stenosis in children. Int J Pediatr Otorhinolaryngol 1993;28:11-23. https://doi.org/10.1016/0165-5876(93)90142-P
  5. Perkins JA, Inglis AF Jr, Richardson MA. Iatrogenic airway stenosis with recurrent respiratory papillomatosis. Arch Otolaryngol Head Neck Surg 1998;124:281-7. https://doi.org/10.1001/archotol.124.3.281
  6. Cinar U, Vural C, Turgut S. A laryngeal foreign body misdiagnosed as asthma bronchiale. Eur J Emerg Med 2003;10:334-6. https://doi.org/10.1097/00063110-200312000-00019
  7. Galdi E, Perfetti L, Pagella F, Bertino G, Ferrari M, Moscato G. Irritant vocal cord dysfunction at first misdiagnosed as reactive airway dysfunction syndrome. Scand J Work Environ Health 2005;31:224-6. https://doi.org/10.5271/sjweh.873
  8. Langman AW, Lee KC, Dedo HH. The endoscopic Teflon keel for posterior and total glottic stenosis. Laryngoscope 1989;99(6 Pt 1):571-7.
  9. Whited RE. Posterior commissure stenosis post long-term intubation. Laryngoscope 1983;93:1314-8. https://doi.org/10.1002/lary.1983.93.10.1314
  10. Hillel AT, Karatayli-Ozgursoy S, Samad I, Best SR, Pandian V, Giraldez L, et al. Predictors of posterior glottic stenosis: a multi-institutional case-control study. Ann Otol Rhinol Laryngol 2016;125:257-63. https://doi.org/10.1177/0003489415608867
  11. Liu BP, Bove MJ, Nemeth AJ. Posterior glottic stenosis with a calcified interarytenoid scar band: CT and laryngoscopic correlation. AJNR Am J Neuroradiol 2010;31:1969-71. https://doi.org/10.3174/ajnr.A1980
  12. Dedo HH, Sooy CD. Endoscopic laser repair of posterior glottic, subglottic and tracheal stenosis by division or micro-trapdoor flap. Laryngoscope 1984;94:445-50. https://doi.org/10.1288/00005537-198404000-00001
  13. Goldberg AN. Endoscopic postcricoid advancement flap for posterior glottic stenosis. Laryngoscope 2000;110(3 Pt 1):482-5. https://doi.org/10.1097/00005537-200003000-00029
  14. Ossoff RH, Karlan MS, Sisson GA. Endoscopic laser arytenoidectomy. Lasers Surg Med 1983;2:293-9. https://doi.org/10.1002/lsm.1900020402
  15. Roh JL. Prevention of posterior glottic stenosis by mitomycin C. Ann Otol Rhinol Laryngol 2005;114:558-62. https://doi.org/10.1177/000348940511400712
  16. Cho JG, Park MW, Baek SK, Kwon SY, Jung KY, Woo JS. CO2 laser-induced endotracheal fire. Med Laser 2013;2:36-9. https://doi.org/10.25289/ML.2013.2.1.36
  17. Ju YH, Jung KY, Kwon SY, Woo JS, Cho JG, Park MW, et al. The usefulness of CO2 laser-assisted phonomicrosurgery using a computer-guided scanner in benign vocal fold mucosal disorders. Med Laser 2012;1:16-20. https://doi.org/10.25289/ml.2012.1.1.16
  18. Cho JG, Park MW, Baek SK, Kwon SY, Jung KY, Woo JS. Intraoral stone removal in Wharton's duct using a CO2 laser: clinical results. Med Laser 2013;2:67-9. https://doi.org/10.25289/ml.2013.2.2.67
  19. Lee SJ, Chung PS, Chung SY, Woo SH. Transoral laser excision of a pyriform sinus cyst. Med Laser 2019;8:84-6. https://doi.org/10.25289/ML.2019.8.2.84
  20. Hong JC, Lee KD. Transoral laser surgery for supraglottic carcinoma. Med Laser 2013;2:1-7. https://doi.org/10.25289/ml.2013.2.1.1