Iwata Shinji, Nishida Naoya, Murakawa Seitaro, Hato Naohito
Otolaryngology, Head and Neck Surgery, Ehime University Graduate School of Medicine, Toon, JPN.
Otolaryngology, Ehime Prefectural Niihama Hospital, Niihama, JPN.
Cureus. 2024 Dec 6;16(12):e75240. doi: 10.7759/cureus.75240. eCollection 2024 Dec.
Thermal burns of the larynx are uncommon but can lead to serious upper airway obstruction due to edema and bleeding, especially in children who may struggle to communicate their symptoms effectively. This report presents the case of a one-year-and-seven-month-old boy who developed stridor and respiratory distress after eating a heated potato, which ultimately required tracheal intubation. The initial evaluation suggested foreign body aspiration; however, laryngoscopy confirmed significant arytenoid swelling and airway narrowing due to thermal burns. Following airway management and intensive care with antibiotics and steroids, the patient was extubated on the third day and discharged without complications on the tenth day. This case highlights the importance of considering thermal burns of the larynx in the differential diagnosis of respiratory symptoms after the ingestion of hot food, particularly in young children. Multidisciplinary collaboration between otolaryngologists, pediatricians, and anesthesiologists is essential for the optimal management of such cases.
喉部热灼伤并不常见,但可因水肿和出血导致严重的上气道梗阻,尤其是在难以有效表达症状的儿童中。本报告介绍了一名1岁7个月大男孩的病例,他在食用加热的土豆后出现喘鸣和呼吸窘迫,最终需要气管插管。初步评估提示异物吸入;然而,喉镜检查证实由于热灼伤导致杓状软骨明显肿胀和气道狭窄。经过气道管理以及使用抗生素和类固醇进行重症监护后,患者在第三天拔管,并于第十天无并发症出院。该病例强调了在摄入热食后出现呼吸道症状的鉴别诊断中考虑喉部热灼伤 的重要性,尤其是在幼儿中。耳鼻喉科医生、儿科医生和麻醉科医生之间的多学科协作对于此类病例的最佳管理至关重要。