Tiwari Pradip Kumar, Solo M, Lynrah Zareen A, Bhatia Abhijeet, Brian Shunyu N, Chakraborty Suvamoy
Department of Otorhinolaryngology and Head and Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya India.
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):664-668. doi: 10.1007/s12070-023-04245-8. Epub 2023 Oct 9.
Subglottic stenosis is narrowing of the area in between the vocal cords and the cricoid cartilage. It can cause respiratory problems which can be mild to severe. Study the management of paediatric airway in post-intubation subglottic stenosis associated with Japanese encephalitis. Case Setting and Design: Retrospective study of 18 patients presenting with encephalitis out of which 6 cases were of post-intubation subglottic stenosis associated with Japanese encephalitis between the study period of one year (September 2017-September 2018) in the, Department of Otolaryngology and Head and Neck Surgery, North Eastern Indira Gandhi Regional Institute Of Health And Medical Sciences, Shillong, Meghalaya, India. Fifteen patients were treated in the study period. Different approaches were used. Post-intubation subglottic stenosis depends on the duration of intubation and the quality of life post-tracheostomy depends on the type of tube used. Bronchoscopic assisted procedures during the tracheostomy or after an interval helps to decrease the morbidity. Management of paediatric airway in post-intubation subglottic stenosis associated with Japanese encephalitis needs proper strategy and dedicated and intensive post-operative care. Bivona® silicone tracheostomy tube is a better option.
声门下狭窄是声带与环状软骨之间区域的变窄。它可导致从轻度到重度的呼吸问题。研究日本脑炎相关的插管后声门下狭窄患儿气道的管理。病例设置与设计：对18例脑炎患者进行回顾性研究，其中6例为在印度梅加拉亚邦西隆市东北英迪拉·甘地地区卫生与医学科学研究所耳鼻喉头颈外科一年研究期间（2017年9月至2018年9月）与日本脑炎相关的插管后声门下狭窄。研究期间对15例患者进行了治疗。采用了不同的方法。插管后声门下狭窄取决于插管持续时间，气管切开术后的生活质量取决于所用导管的类型。气管切开期间或间隔一段时间后进行支气管镜辅助操作有助于降低发病率。日本脑炎相关的插管后声门下狭窄患儿气道的管理需要恰当的策略以及专门且强化的术后护理。Bivona®硅胶气管造口管是更好的选择。
