Volume 57, Issue 1 (7 1999)
Tehran Univ Med J 1999, 57(1): 59-62 |
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Razmpa E. A study of subglottic stenosis in patients referred to Imam Khomeini and Amir Alam hospitals from 1371 to 1376. Tehran Univ Med J 1999; 57 (1) :59-62
URL: http://tumj.tums.ac.ir/article-1-1491-en.html
URL: http://tumj.tums.ac.ir/article-1-1491-en.html
Abstract: (11356 Views)
The subglot stenosis can be congenital or acquired. The prevalence of this disorder is low but due to seriousness of the disease and lake of an effective treatment it is considered as major issue in otolaryngology. The most important cause of this disorder is trauma due to prolonged intubation of larynx. The aim of this study was to describe the etiologic, clinical manifestation and the therapeutic procedures in patients with subglot stenosis who referred to Imam Khomeini and Amir Alam Hospital during years 1371 through 1376. Sixty-two patients, 44 (71%) men and 18 (29%) women were investigated. The youngest patient was 1.5 years and the oldest was 76 years. The most frequent symptoms were striodor and shorthness of breath. The main etiologic factor was prolonged intubation in younger patients and neoplastic disorder in patients over 40 years. In 62% of subject intubation lasted more than 7 days and the resting less than 7 days. The most frequent endoscopic finding was granulated tissues. Ninety-one percent of subjects had trachestomy. In terms of treatment 44% had been given antibiotics. We conclude that care must be given to these patients to change the graft more frequently and to have antibiotic as a treatment regimen after trachestomy to reduce infection
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