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Virtual Pediatric Hospital: ElectricAirway: Upper Airway Problems in Children: Table of Characteristics of Subglottic Stenosis ElectricAirway: Upper Airway Problems in Children

Table of Characteristics of Subglottic Stenosis

Donna M. Santer, M.D., Michael P. D'Alessandro, M.D.
Peer Review Status: Externally Peer Reviewed by Lauren D Holinger, MD, Robert J. Winter, MD and the AMA


Congenital

Acquired

Age

birth - few months

2 weeks - 10 years

Patient
Presentation

stridor
occasional hoarseness
weak/unusual cry

usually inspiratory
stridor after extubation

PE

stridor
occasional dyspnea
normal growth

dyspnea
respiratory distress
normal growth

X-Ray

narrow subglottic
area on lateral

narrow subglottic
area on lateral

Bronchoscopy

marked soft tissue
swelling

severe stenosis possibly
circumferential

Management

expectant watching
periodic bronchoscopy
dilatation
tracheostomy
tracheoplasty

racemic epinephrine
steroids
tracheostomy
tracheoplasty

Title Page


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