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Idiopathic Subglottic Tracheal Stenosis Misdiagnosed As Vocal Cord Dysfunction and Successfully Treated with Laser and Controlled Radial Expansion Balloon Dilation.
Cureus. 2020 Apr 16; 12(4):e7702.C

Abstract

Idiopathic tracheal stenosis (ITS) is a rare condition, and diagnosis of exclusion should be suspected in patients with exercise intolerance, wheezing, and dyspnea on exertion with a flow-volume loop suggestive of fixed airway obstruction. We report a case of a 32-year-old asthmatic woman with an existing diagnosis of vocal cord dysfunction and previous normal CT scan of the neck. She continued to have fixed upper airway obstruction on repeated flow-volume loops with persistent wheezing and cough along with occasional stridor and hoarseness of voice despite appropriate management of her asthma. She was finally diagnosed with ITS on a repeat CT scan of the neck for which she underwent laser surgery, steroid injection, and controlled radial expansion balloon dilation with a successful reduction of stenosis. This case illustrates the importance of clinical suspicion for early diagnosis of ITS in poorly controlled asthmatic patients and the relevance of non-surgical management of this condition.

Authors+Show Affiliations

Pulmonary and Critical Care, East Tennessee State University, Johnson City, USA.Pulmonary and Critical Care, East Tennessee State University, Johnson City, USA.Internal Medicine, Quillen College of Medicine, East Tennessee State University, Johnson City, USA.Pulmonary and Critical Care, East Tennessee State University, Johnson City, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32431981

Citation

Karakattu, Sajin M., et al. "Idiopathic Subglottic Tracheal Stenosis Misdiagnosed as Vocal Cord Dysfunction and Successfully Treated With Laser and Controlled Radial Expansion Balloon Dilation." Cureus, vol. 12, no. 4, 2020, pp. e7702.
Karakattu SM, Vijayan K, Haddad I, et al. Idiopathic Subglottic Tracheal Stenosis Misdiagnosed As Vocal Cord Dysfunction and Successfully Treated with Laser and Controlled Radial Expansion Balloon Dilation. Cureus. 2020;12(4):e7702.
Karakattu, S. M., Vijayan, K., Haddad, I., & El Abbassi, A. (2020). Idiopathic Subglottic Tracheal Stenosis Misdiagnosed As Vocal Cord Dysfunction and Successfully Treated with Laser and Controlled Radial Expansion Balloon Dilation. Cureus, 12(4), e7702. https://doi.org/10.7759/cureus.7702
Karakattu SM, et al. Idiopathic Subglottic Tracheal Stenosis Misdiagnosed as Vocal Cord Dysfunction and Successfully Treated With Laser and Controlled Radial Expansion Balloon Dilation. Cureus. 2020 Apr 16;12(4):e7702. PubMed PMID: 32431981.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Idiopathic Subglottic Tracheal Stenosis Misdiagnosed As Vocal Cord Dysfunction and Successfully Treated with Laser and Controlled Radial Expansion Balloon Dilation. AU - Karakattu,Sajin M, AU - Vijayan,Karthik, AU - Haddad,Ibrahim, AU - El Abbassi,Adel, Y1 - 2020/04/16/ PY - 2020/5/21/entrez PY - 2020/5/21/pubmed PY - 2020/5/21/medline KW - pulmonary function test KW - tracheal stenosis KW - vocal cord dysfunction SP - e7702 EP - e7702 JF - Cureus JO - Cureus VL - 12 IS - 4 N2 - Idiopathic tracheal stenosis (ITS) is a rare condition, and diagnosis of exclusion should be suspected in patients with exercise intolerance, wheezing, and dyspnea on exertion with a flow-volume loop suggestive of fixed airway obstruction. We report a case of a 32-year-old asthmatic woman with an existing diagnosis of vocal cord dysfunction and previous normal CT scan of the neck. She continued to have fixed upper airway obstruction on repeated flow-volume loops with persistent wheezing and cough along with occasional stridor and hoarseness of voice despite appropriate management of her asthma. She was finally diagnosed with ITS on a repeat CT scan of the neck for which she underwent laser surgery, steroid injection, and controlled radial expansion balloon dilation with a successful reduction of stenosis. This case illustrates the importance of clinical suspicion for early diagnosis of ITS in poorly controlled asthmatic patients and the relevance of non-surgical management of this condition. SN - 2168-8184 UR - https://www.unboundmedicine.com/medline/citation/32431981/Idiopathic_Subglottic_Tracheal_Stenosis_Misdiagnosed_As_Vocal_Cord_Dysfunction_and_Successfully_Treated_with_Laser_and_Controlled_Radial_Expansion_Balloon_Dilation DB - PRIME DP - Unbound Medicine ER -
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