Epiglottitis in the adult

Much attention has been directed toward the etiology, diagnosis, and management of pediatric epiglottitis. Recently, however, the otolaryngological literature has stressed the importance of recognizing epiglottitis (or supraglottitis) as an adult affliction. Two interesting cases of adult epiglottitis are presented, emphasizing the many differences between the adult and pediatric forms concerning the presentation, diagnosis, treatment, and natural course of the disease. Controversies regarding the diagnosis and management are addressed, as well as the indications for and types of airway intervention. A review of the complications of epiglottitis and their treatment is included.