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Idiopathic cervical tracheal stenosis in an 11-year-old male

Matthew R Hoffman1, Katrina M Thompson2, Jessica Van Beek-King1

  • 1University of Wisconsin School of Medicine and Public Health, Department of Surgery - Division of Otolaryngology-Head and Neck Surgery, Madison, WI 53792, USA.

International Journal of Pediatric Otorhinolaryngology
|September 4, 2018
PubMed

Insights

Idiopathic laryngotracheal stenosis, a rare airway condition, typically affects adult females. This case study details its occurrence in an 11-year-old male, emphasizing the need for broader diagnostic considerations in pediatric patients.

Area of Science:

  • Pulmonology
  • Pediatric Otolaryngology
  • Rare Diseases

Background:

  • Idiopathic laryngotracheal stenosis (ILTS) is a fibroinflammatory condition.
  • ILTS typically affects adult females of child-bearing age.
  • Causes like trauma, intubation, or autoimmune disease are excluded in ILTS.

Observation:

  • An 11-year-old male presented with progressive dyspnea and stridor.
  • Bronchoscopy showed severe (90%) cervical tracheal stenosis.
  • The patient had no history of trauma or intubation.

Findings:

  • The patient underwent serial balloon dilation and steroid injections.
  • Tracheal stenosis improved significantly to 20%.
  • Autoimmune disease workup was negative, confirming idiopathic nature.

Implications:

  • This case highlights ILTS in an atypical pediatric population.
  • It underscores the importance of considering ILTS in children with airway restriction.
  • Early diagnosis and intervention are crucial for managing pediatric airway stenosis.

Keywords:
Balloon dilationIdiopathic laryngotracheal stenosisPediatric tracheal stenosisTracheal stenosis

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