Balloon dilatation to treat plasmacytosis of the supraglottic larynx.
OBJECTIVE
We discuss the use of balloon dilatation to relieve supraglottic stenosis caused by mucous membrane plasmacytosis.


METHODS
A 54-year-old man with a known diagnosis of mucous membrane plasmacytosis presented with dysphonia and worsening airway obstruction which required a tracheostomy. He underwent balloon dilatation of the supraglottic larynx using an angioplasty balloon within sequentially sized endotracheal tubes. This enabled successful decannulation, with minimal re-stenosis at eight-month follow up.


CONCLUSIONS
To our knowledge, this is the first reported case of supraglottic stenosis caused by plasmacytosis to be successfully treated using this method. We have shown that this minimally invasive technique deals effectively with a complex airway and minimises re-stenosis.
Department of Otolaryngology, Salford Royal NHS Foundation Trust, Stott Lane, Salford, UK. smis83@doctors.org.uk
S G
SG
Mistry
G J
GJ
Watson
M P
MP
Rothera
D004106:Dilatation / Q000295:instrumentation*; D006801:Humans; D007829:Laryngostenosis / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009092:Mucous Membrane / Q000473:pathology