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성문 상부에 국한된 후두 협착 1예

박시영1, 정범조1, 고영승1,*, 정구현1
See-Young Park1, Bum-Jo Jung1, Young-Seung Ko1,*, Gu-Hyun Jung1
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1성문 상부에 국한된 후두 협착 1예
1Department of Otorhinolaryngology-Head and Neck Surgery, InJe University College of Medicine, Ilsan Paik Hospital, Goyang, Korea
*교신저자: 고영승, 411-706 경기도 고양시 일산구 대화동 2240 인제대학교 의과대학 일산백병원 이비인후-두경부 외과학교실 전화: (031) 910-7250·전송: (031) 910-7747 E-mail: koys2000@naver.com

© Copyright 2010 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Nov 11, 2009; Revised: Dec 15, 2009; Accepted: Jan 12, 2010

Published Online: May 31, 2020

ABSTRACT

In comparison to glottic, subglottic and tracheal stenosis, isolated supraglottic stenosis in adult without a history of laryngeal trauma is a rare condition. Most isolated supraglottic stenosis occur in children with congenital laryngotracheal anomalies. When present in adult, it may be seen after prolonged orotracheal intubation, laryngeal trauma, improper supraglottic instrumentation or surgical treatment for laryngeal malignancy. We report a case of a 45-year-old woman who presented with progressive dyspnea for the last one week. Initial diagnostic laryngoscopy revealed supraglottic stenosis with near total airway obstruction. The patient had no history of laryngeal trauma and causative medical history. She required a tracheostomy for definitive airway control. The supraglottic stenosis was removed by laryngomicrosurgery with CO2 laser. Then a silicon sheet was inserted and fixed in stenotic portion to prevent restenosis. There was no evidence of restenosis at 6 months after surgery. We report a successfully treated case of isolated supraglottic stenosis. (J Clinical Otolaryngol 2010;21:107-110)

Keywords: 후두 협착; 성문 상부; 후두경 수술
Keywords: Laryngeal stenosis; Supraglottis; Laryngoscopic surgery