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Accession number;03A0566160
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| Title;A Case of Subglottic Stenosis Left Untreated for 18 Years |
| Author;
FUJIMURA KAZUNOBU
(Sangyoidai Jibiinkoka)
FUJIYOSHI TATSUYA
(Sangyoidai Jibiinkoka)
SAKABE AKIKO
(Sangyoidai Jibiinkoka)
GOTO KYOYA
(Sangyoidai Jibiinkoka)
HOUCHI NOBUSUKE
(Sangyoidai Jibiinkoka)
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Journal Title;Journal of the Japan Broncho-Esophagological Society
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Journal Code:Z0674A
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ISSN:0029-0645
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VOL.54;NO.4;PAGE.297-301(2003)
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| Figure&Table&Reference;FIG.4, REF.17 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Subglottic stenosis induced by prolonged endotracheal intubation in childhood is not always easy to cure. Most patients receive treatment immediately after diagnosis, and cases left untreated for a long term are rare. We treated an 18-year-old woman who developed subglottic stenosis due to endotracheal intubation when she was 4 months old. She was left untreated for 18 years except for a tracheostomy. Her parents continued to take care of the tracheostome without any medical consultation. A circumferential scar had narrowed the subglottic space to 1.5mm in diameter at a level of 1.5cm below the vocal cords. We resected only the thin part of the scar using a YAG laser through a contact tip, and expanded the size of the subglottic space to 9mm in diameter. We did not use a T-tube and the wound healed without re-stenosis. The main reason why a successful result was obtained in this case may be that the local tissue had lost its excessive inflammatory reaction due to the long period post onset. The patient's parents gave up to give any medical treatment for the patient because they were told that the prognosis would be poor. From this experience, we learned that complete informed consent between a physician and patient would be emphasized in case of incurable conditions. (author abst.) |
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