Is There a Chance of Normal Life in Severe Laryngeal web

Document Type : Case Report

Authors

1 Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, Italy.

2 Respiratory Endoscopy Unit, Department of Pediatric Anesthesia and Intensive Care, Meyer Children Hospital, Florence, Italy.

Abstract

Introduction:
Laryngeal web is a rare cause of pediatric stridor and respiratory distress. The clinical presentation is variable and symptoms usually correlate with the severity of the airway obstruction.
 
Case Reports:
We describe the cases of three children unexpectedly diagnosed with laryngeal web after a severe episode of bronchiolitis and after thirteen and eleven years, respectively, of persistent symptoms despite asthma medications.
Conclusion:
Even if it is a rare cause of stridor and respiratory distress, congenital subglottic web could be a life threatening condition and clinicians should always consider it in the differential diagnosis of persistent noisy breathing, even in adolescents and young adults.

Keywords

References

  1. Milczuk HA, Smith JD, Everts EC. Congenital laryngeal webs: surgical management and clinical embryology. Int J Pediatr Otorhinolaryngol. 2000; 52(1):1-9.
  2. Holinger PH, Brown WT. Congenital webs, cysts, laryngoceles and other anomalies of the larynx. Ann Otol Rhinol Laryngol. 1967; 76(4):744-52.

3. Antón-Pacheco JL, Villafruela M, Martínez A, Cabezalí D. Congenital subglottic web: a rare cause of neonatal stridor. J Pediatr Surg.2009; 44(1):25-7.

4. Reena, Kumar A, Singh SK, Agrawal W. Unsuspected subglottic web in a child managed for severe respiratory obstruction. Saudi J Anaesth. 2017; 11(1):99-101.

5. Linna O, Hyrynkangas K, Lanning P, Nieminem P. Central airway stenosis in school-aged children: differential diagnosis from asthma. Acta Paediatr. 2002; 91(4):399-402.

6. Wallis C, Alexopoulou E, Antón-Pacheco JL, Bhatt JM, Bush A, Chang AB, et al. ERS statement on tracheomalacia and bronchomalacia in children. Eur Respir J. 2019 Sep 28;54(3):1900382.

7. Marseglia L, D'Angelo G, Impellizzeri P, Salvo V, Catalano N, Bruno R, et al. Neonatal stridor and laryngeal cyst: Which comes first? Pediatr Int. 2017; 59(1): 115-117.

8. Parelkar KA, Thorawade VP, Shah KA, Walli AK, Pareek AH. A misdiagnosed laryngeal web: treated with an innovative self-made keel. J Clin Diagn Res. 2017; 11(5):4-6.

9. Eber E, Antón-Pacheco JL, de Blic J, Doull I, Faro A, Nenna R, et al. ERS statement: interventional bronchoscopy in children. Eur Respir J. 2017;50(6):1700901.

Iranian Journal of Otorhinolaryngology
Volume 33, Issue 6
November and December 2021
Pages 383-387

Files

Share

How to cite

Statistics