Airway clearance is integral to the management of COPD, yet there is no evidence as to the optimal modality. This study was conducted to compare the efficacy of two chest clearance techniques, autogenic drainage and active cycle breathing in COPD patients.Thirty subjects who were 40 60 years of age and had moderate chronic obstructive pulmonary disorder were allocated randomly into three groups...

Neonatal subglottic stenosis still remains a substantial challenge for paediatric ENT surgeons. Herein, we present a case of a single stage laryngotracheal reconstruction for a glottic-subglottic stenosis in an 18-week-old, 7.2 kg infant with DiGeorge syndrome. Our surgical approach was compared with those reported in the literature. Paediatric airway surgery should be tailored to individual pa...

Acquired subglottic stenosis is a compication or neonatal endotracheal intubation. Although it is rare, it contributes significantly to the morbidity and physical well being of post extubated neonates. A 20-day old neonate, ventilated for meconium aspiration syndrome and persistent fetal circulation, presented with marked stridor and respiratory embarrassment. A stenosed subglottic area was fou...

We present a case of subglottic stenosis (SGS) in a young patient with positive ANCA but a wrong diagnosis of Wegener granulomatosis (WG). Instead, she was diagnosed as having laryngopharyngeal reflux (LPR). Pitfalls of ANCA testing in this scenario, the route to diagnosis of LPR and the contribution of this entity to subglottic stenosis (SGS) in WG are discussed. Caution when interpreting ANCA...

Background: Idiopathic subglottic stenosis (ISS) accounts for 18.5% of acquired causes of subglottic stenosis in adults. To date, there have been 11 cases reported of ISS in pregnancy. ISS in pregnancy poses a diagnostic challenge due to the presentation of symptoms similar to other airway conditions without a clear underlying cause. Case: We report a case of pregnant women who presented with p...

This is a retrospective study examining the outcome of paediatric patients with subglottic stenosis who underwent partial cricotracheal resection (PCTR) as a primary open procedure from 2004 to 2012. There were 5 patients identified aged from 3 to 18 years old. All the subglottic stenosis were acquired type. All of them were secondary to prolonged intubation. Three patients were classified as M...

background: subglottic stenosis is defined as inflammatory narrowing of the airway. it can be related to trauma, intubation, autoimmune disorders, vascular malformations, infection and congenital abnormalities. pot-wine stain (pws) is a small dermis venous malformation which is present at birth. pws is found on face and neck, but can occur in throat and can cause subglottic stenosis. case repor...

Sir, Infantile haemangioma is a fairly common vascular tumour of the skin in infancy. In contrast, infantile subglottic haemangioma is rare, accounting for about 1.5% of all congenital laryngeal anomalies (1). However, it often causes stridor in infancy and sometimes leads to life-threatening respiratory distress (2). We report here a case of infantile haemangiomas on the face, neck and chest t...

Postintubation subglottic stenosis is one of the most common causes of stridor in newborns and babies after prolonged mechanical ventilation. Management of this pathology is complex and requires highly trained personnel because it is associated with a high rate of airway-related mortality. This article presents the rescue of a difficult airway in a pediatric patient with subglottic stenosis wit...

Surgical Cricothyroidotomy is regarded as an emergency procedure today even though it has a good evidential record as an elective surgical airway. A misunderstanding of Jackson's landmark paper in 1921 has made the simple and safe procedure unpopular because of the fear of subglottic stenosis. We present the incidence of subglottic stenosis after surgical cricothyroidotomy, discuss evidence for...