Subglottic stenosis in short-statured children: a case for further investigation of airway symptoms in patients with skeletal dysplasias.
Clinical evaluation of children with skeletal dysplasias is often concentrated on morphologic and radiographic assessments, but many of these patients also have disease processes of the ear, nose, and throat. We report a case of an 11-month-old girl with an unknown short-limbed dwarfism, similar to acromicric dysplasia, with grade II subglottic stenosis. Laryngotracheoplasty with anterior autologous costal cartilage graft and posterior cricoid split was performed at age 13 months, with subsequent improvement of her airway status. In cases of children with skeletal dysplasias and obstructive airway symptoms, formal otolaryngologic evaluation is warranted for definitive diagnosis and treatment.
Lee
Jonathan H
JH
Division of Pediatric Otolaryngology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Ellison
Jay W
JW
Schears
Gregory J
GJ
Thompson
Dana M
DM
D001848:Bone Diseases, Developmental / Q000150:complications / Q000175:diagnosis; D001999:Bronchoscopy; D004392:Dwarfism / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005471:Fluoroscopy; D005931:Glottis / Q000473:pathology*; D006801:Humans; D007223:Infant; D007828:Laryngoscopy; D007829:Laryngostenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D007830:Larynx / Q000601:surgery*; D019651:Plastic Surgery Procedures; D014132:Trachea / Q000601:surgery*; D016896:Treatment Outcome