Djalilian M, McDonald T J, Devine K D, Weiland L H
Ann Otol Rhinol Laryngol. 1975 Nov-Dec;84(6):757-63. doi: 10.1177/000348947508400605.
During a 20-year period, 12 patients with nontraumatic, nonneoplastic subglottic stenosis were seen at the Mayo Clinic. The etiologic factors were relapsing polychondritis, amyloidosis, sarcoidosis, and Wegener's granulomatosis. Because of the diverse initial presentation of the disease, the clinician should consider that the stenosis is a manifestation of a systemic disorder and carry out an otolaryngologic and physical examination with the appropriate roentgenograms and blood and urine tests. Treatment, if a systemic disease is proved, consists of appropriate medication. Surgery may be necessary, depending on the nature of the lesion. Small strictures may not need to be treated.
在20年的时间里，梅奥诊所共接诊了12例非创伤性、非肿瘤性声门下狭窄患者。病因包括复发性多软骨炎、淀粉样变性、结节病和韦格纳肉芽肿。由于该病最初表现多样，临床医生应考虑到狭窄可能是全身性疾病的一种表现，并进行耳鼻喉科检查、体格检查，以及相应的X光检查、血液和尿液检查。如果确诊为全身性疾病，治疗方法为使用适当的药物。根据病变的性质，可能需要进行手术。轻度狭窄可能无需治疗。
