Shah Viraj N, Suresh Neeraj V, Pasick Luke J, Ghiam Michael K, Torres Leonardo A
Department of Otolaryngology-Head and Neck Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Otolaryngol Case Rep. 2021 Sep;20:100311. doi: 10.1016/j.xocr.2021.100311. Epub 2021 Apr 27.
This report is a case of bilateral vocal cord granulomas (VCG) in a 9-year-old child presenting as an airway foreign body and stridor following prolonged intubation due to COVID-19 pneumonia complicated by multisystem inflammatory syndrome in children (MIS-C).
This case reports a 9-year-old male who presented to the emergency department with acute stridor concerning for airway obstruction. X-ray findings suggested an airway foreign body; however, on rigid bronchoscopy, ball-valving bilateral VCG obstructing 90% of the glottic airway were identified. After excision of the VCGs, the patient's symptoms resolved with no postoperative complications.
With suspected foreign body aspiration in a pediatric patient with a history of prolonged intubation, it is important to consider a broad differential diagnosis. VCGs are rare complications of prolonged intubation that could be in children with prior history of intubation following COVID-19 pneumonia.
本报告是一例9岁儿童双侧声带肉芽肿（VCG）病例，该患儿因新型冠状病毒肺炎合并儿童多系统炎症综合征（MIS-C）长期插管后出现气道异物及喘鸣。
本病例报告了一名9岁男性，因急性喘鸣到急诊科就诊，怀疑气道阻塞。X线检查结果提示气道异物；然而，在硬质支气管镜检查中，发现双侧声带肉芽肿呈球阀样，阻塞了90%的声门气道。切除声带肉芽肿后，患者症状缓解，无术后并发症。
对于有长期插管史的疑似小儿异物吸入患者，进行广泛的鉴别诊断很重要。声带肉芽肿是长期插管的罕见并发症，可能发生在新型冠状病毒肺炎后有插管史的儿童中。
