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Successful management of subglottic stenosis during the third trimester of pregnancy

Mark Rumbak1, Joseph Dryer, Tapan Padhya

  • 1*Department of Internal Medicine, Pulmonary, Critical Care, and Sleep Medicine †Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology, University of South Florida College of Medicine ‡Florida Gulf to Bay Anesthesiology Associates, Tampa General Hospital, Tampa, FL.

Journal of Bronchology & Interventional Pulmonology
|November 22, 2012
PubMed

Subglottic stenosis is seldom encountered during pregnancy. Definitive treatment is tracheal resection and reanastomosis, although not during the later stages of pregnancy. We describe 2 patients who presented during the third trimester of pregnancy with significant tracheal obstruction from subglottic stenosis, one caused by Wegener granulomatosis and the other idiopathic in nature. Both patients refused temporary tracheostomy. We describe the surgical and anesthetic management of these patients subsequent to which they were both able to have normal, full-term vaginal deliveries.

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