Miyamoto Makoto, Tajima Atsushi, Naoi Tomoki, Koshihara Misa, Motoyasu Akira
Otorhinolaryngology, ISEIKAI International General Hospital, Osaka, JPN.
Obstetrics and Gynecology, Kyorin University School of Medicine, Tokyo, JPN.
Cureus. 2025 Feb 27;17(2):e79788. doi: 10.7759/cureus.79788. eCollection 2025 Feb.
Idiopathic subglottic stenosis (ISGS) during pregnancy is extremely rare, with treatment strategies primarily based on a limited number of case reports. The most common management approach in pregnant women is therapeutic endoscopic treatment with a balloon catheter. This intervention is crucial for the well-being of both the mother and fetus and requires a multidisciplinary team, including specialists in obstetrics, anesthesiology, and otolaryngology. We present the case of a 31-year-old woman with ISGS at 28 weeks of pregnancy. Throughout the procedure, obstetricians performed fetal monitoring, while anesthesiologists managed her respiration and pain. The patient was successfully treated with laser ablation and steroid injection using flexible endoscopy under local anesthesia. She subsequently had a spontaneous vaginal delivery at 38 weeks and three days, giving birth to a healthy boy. This case highlights the successful management of symptomatic subglottic stenosis during pregnancy through endoscopic laser ablation and localized steroid injection.
孕期特发性声门下狭窄（ISGS）极为罕见，治疗策略主要基于有限数量的病例报告。孕妇最常见的管理方法是使用球囊导管进行治疗性内镜治疗。这种干预对母亲和胎儿的健康至关重要，需要一个多学科团队，包括产科、麻醉学和耳鼻喉科专家。我们报告一例31岁女性在妊娠28周时患有ISGS的病例。在整个手术过程中，产科医生进行胎儿监测，而麻醉医生管理她的呼吸和疼痛。患者在局部麻醉下使用软性内镜成功接受了激光消融和类固醇注射治疗。她随后在38周零三天时自然阴道分娩，产下一名健康男婴。该病例突出了通过内镜激光消融和局部类固醇注射成功管理孕期有症状的声门下狭窄。
