Giant suprastomal granuloma as a laryngeal mass.
The presence of suprastomal granulomas after tracheotomy is a common occurrence. Under most circumstances, this never becomes clinically relevant. However, in the pediatric population, granulomas can on occasion cause partial or complete airway obstruction after decannulation. This report describes 2 cases of giant suprastomal granulomas that presented as laryngeal masses. These cases stress the indications for routine endoscopic evaluation in patients with long-term tracheotomies. Also, the treatment of extensive suprastomal granulomas requires open excision, which differs from the endoscopic approach recommended for smaller granulomas.
Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical Center, Ann Arbor.
G K
GK
Hartig
C M
CM
Myer
B J
BJ
Wiatrak
C M
CM
Bower
D000402:Airway Obstruction / Q000209:etiology; D006102:Granuloma, Laryngeal / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007828:Laryngoscopy; D008297:Male; D014140:Tracheotomy / Q000009:adverse effects