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Acute Supraglottitis Causing Airway Obstruction in Adults - A Case Series
Haritha S1, Shanthi Priya Dhanasekaran1, Nandhini Radhakrishnan1
1Department of Otorhinolaryngology, Head and Neck Surgery, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu 602,105 India.
Summary
Acute adult supraglottitis, an inflammation of the supraglottic structures, presents varied symptoms and requires prompt diagnosis. Early intervention is crucial for managing this life-threatening condition and preventing airway compromise.
Area of Science:
- Otolaryngology
- Emergency Medicine
- Critical Care Medicine
Background:
- Acute adult supraglottitis is a rare but severe upper airway obstruction.
- It can rapidly progress to respiratory failure, necessitating urgent medical attention.
- Uncontrolled diabetes mellitus is a notable comorbidity in affected adult males.
Purpose of the Study:
- To present a case series on adult supraglottitis.
- To highlight the diverse clinical presentations and diagnostic challenges.
- To discuss varied management strategies and their outcomes.
Main Methods:
- Case series review of four adult male patients.
- Diagnostic tools included soft-tissue neck radiography and video laryngoscopy.
- Clinical findings noted edematous epiglottis and the "thumbprint" sign.
Main Results:
- Patients presented with sore throat, dysphagia, and voice changes.
- Management varied from conservative antibiotic/steroid therapy to tracheostomy.
- Prompt diagnosis and intervention were critical for successful outcomes.
Conclusions:
- Adult supraglottitis demands high clinical suspicion due to its potential for rapid deterioration.
- Early diagnosis, vigilant monitoring, and individualized treatment are essential.
- Effective management strategies are key to preventing severe morbidity and mortality.
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