Hamersley Erin R, Perez Angel J, Morrison Michele P, Beumer Halton W
Department of Otolaryngology, Naval Medical Center, 620 John Paul Jones Circle, Portsmouth, VA 23708, USA.
Ear Nose Throat J. 2018 Apr-May;97(4-5):E10-E12.
Subglottic stenosis is a narrowing of the airway distal to the glottis. Airway narrowing can be severe and, when coupled with pregnancy, can pose a significant threat to the mother and fetus. There is sparse literature describing treatment of these critical patients, posing a challenge for management. We describe our experience with a 31-year-old woman with idiopathic subglottic stenosis who became symptomatic during her pregnancy, requiring surgical intervention early in her third trimester. The following case report describes this patient's presentation and management, in which an awake dilation technique was used. We also include a literature review on the management of subglottic stenosis in pregnancy.
声门下狭窄是指声门远端气道的狭窄。气道狭窄可能很严重，而且在与妊娠相关时，会对母亲和胎儿构成重大威胁。描述这些重症患者治疗方法的文献稀少，给治疗带来了挑战。我们描述了一位31岁特发性声门下狭窄女性患者的经历，她在孕期出现症状，在孕晚期早期需要手术干预。以下病例报告描述了该患者的表现及治疗过程，其中采用了清醒扩张技术。我们还纳入了关于妊娠声门下狭窄治疗的文献综述。
