[Relapsing polychondritis with laryngotracheal extension: therapeutic approach in one patient].
OBJECTIVE
We report the case of a 32-years-old woman suffering from relapsing polychondritis in a laryngeal localization leading to dyspnea due to stenosis or collapse.


METHODS
Incomplete efficiency of medical treatment required endoscopic insertion of a laryngotracheal silicone prosthesis (Trachobronxane ST, Novatech) which avoided tracheotomy and allowed better upper airway patency. Clinical and endoscopic follow-up was continued for several months.


RESULTS
The prosthesis restored laryngotracheal patency and allowed moderate physical activity. The follow-up endoscopic explorations showed excellent prosthesis tolerance eight months after implantation. No deglutition problems, due to the supraglottic position of the upper extremity of the prosthesis, was noted.


CONCLUSIONS
Silicone prostheses provide an interesting alternative for the management of laryngotracheal collapse or stenosis. Withdrawal can be proposed if the disease processes is controlled.
Schultz
P
P
Service d'O.R.L. et de chirurgie cervicofaciale, CHU de Hautepierre, avenue Molière, 67098 Strasbourg Cedex.
Wiorowski
M
M
Chambres
O
O
Debry
C
C
D000328:Adult; D005260:Female; D006801:Humans; D007829:Laryngostenosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D011081:Polychondritis, Relapsing / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000295:instrumentation; D014135:Tracheal Stenosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery*