title: Stridor due to a bridge-like subglottic stenosis in a 10-week-old male infant.
abstract: We present an infant with post-intubation stridor caused by a bridge-like subglottic stenosis. At the age of 6 weeks he suffered from a RSV infection with the need for endotracheal intubation. At week 10 acute respiratory distress required a re-intubation. Flexible endoscopy was suggestive for laryngomalacia. Rigid endoscopy revealed a subglottic laterolateral mucosal bridge resulting in a doubling of the airway lumen. Histopathological examination showed a fibrinoid pseudomembrane. Follow up endoscopy showed a grade 1 posterior subglottic stenosis without respiratory compromise. This is the first case in the literature of an infant with a post-intubation bridge-like fibrinoid pseudomembranous subglottic lesion.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Wilrijkstraat 10, 2650 Edegem, Belgium.
authors.forename: J J S
authors.initials: JJ
authors.lastname: van Dinther
authors.forename: A N
authors.initials: AN
authors.lastname: Boudewyns
authors.forename: Ph G
authors.initials: PG
authors.lastname: Jorens
authors.forename: V
authors.initials: V
authors.lastname: Van Marck
authors.forename: J
authors.initials: J
authors.lastname: Claes
authors.forename: P H
authors.initials: PH
authors.lastname: Van de Heyning
mesh_terms: D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007829:Laryngostenosis / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D008297:Male; D012135:Respiratory Sounds / Q000209:etiology*; D012141:Respiratory Tract Infections / Q000628:therapy; D015163:Superinfection / Q000628:therapy