Asrar Latifi, Oyetunji Nureni, Raza Sayed S, Zeyaulhaque Imranulhaque
Department of ENT, Buraidah Central Hospital and King Fahd SpecialistHospital, Buraidah, AlQassim, Kingdom of Saudi Arabia..
Saudi Med J. 2005 Sep;26(9):1449-52.
Life threatening inflammatory swelling of the epiglottic and supraglottic regions secondary to a foreign body in the vallecula is an unusual occurrence. Upper airway obstruction is potentially a life threatening sequela. We present a unique case of acute epiglottitis with unilateral supraglottitis secondary to foreign body in the vallecula, which gradually improved after emergency endotracheal intubation for respiratory arrest, followed by intensive conservative management with intravenous antibiotics, cortisone and intravenous fluids. This case emphasizes that a foreign body in the vallecula presenting with severe dysphagia should be taken seriously as it may lead to life threatening complications.
由于会厌谷内异物继发会厌和声门上区危及生命的炎性肿胀是一种不寻常的情况。上呼吸道梗阻可能是一种危及生命的后遗症。我们报告一例独特的病例，会厌谷内异物继发急性会厌炎伴单侧声门上炎，在因呼吸骤停进行紧急气管插管后病情逐渐改善，随后通过静脉使用抗生素、皮质类固醇和静脉输液进行强化保守治疗。该病例强调，出现严重吞咽困难的会厌谷异物应予以重视，因为它可能导致危及生命的并发症。
