An unusual presentation of anterior subglottic stenosis

June 8, 2014
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Laryngoscopic Clinic

Acquired subglottic stenosis should be suspected in any patient with unexplained dyspnea weeks to months following decannulation.

A 44-year-old woman presented with a 10-day history of dyspnea and stridor. Two weeks earlier, she had undergone tracheostomy decannulation; the tracheostomy had been performed 2 months earlier to accommodate mechanical ventilation secondary to pneumonia. Her medical history was also significant for diabetes, hypertension, and chronic obstructive pulmonary disease. Her breathing symptoms had been unresponsive to steroids and racemic epinephrine.

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