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Stridor due to a bridge-like subglottic stenosis in a 10-week-old male infant

J J S van Dinther1, A N Boudewyns, Ph G Jorens

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Wilrijkstraat 10, 2650 Edegem, Belgium.

International Journal of Pediatric Otorhinolaryngology
|November 21, 2008
PubMed

Insights

This case report details a rare instance of a bridge-like subglottic stenosis in an infant following endotracheal intubation. The lesion, a fibrinoid pseudomembrane, caused stridor but resolved to a mild stenosis.

Area of Science:

  • Pediatric Otolaryngology
  • Respiratory Medicine
  • Medical Case Reports

Background:

  • Subglottic stenosis is a known complication of endotracheal intubation in infants.
  • Early identification and management are crucial for preventing airway compromise.

Observation:

  • An infant developed stridor after endotracheal intubation for RSV infection.
  • Endoscopy revealed a unique bridge-like subglottic mucosal lesion, identified as a fibrinoid pseudomembrane.

Findings:

  • Histopathology confirmed a fibrinoid pseudomembrane causing a bridge-like subglottic stenosis.
  • The lesion led to significant airway narrowing, initially presenting as stridor.
  • Post-treatment, the stenosis resolved to Grade 1 without respiratory compromise.

Implications:

  • This is the first reported case of a post-intubation bridge-like fibrinoid pseudomembranous subglottic lesion in an infant.
  • Highlights the importance of thorough endoscopic evaluation for unusual airway lesions.
  • Contributes to understanding rare iatrogenic airway complications in neonates and infants.

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