Supragottitis: Clinical management
DOI:
https://doi.org/10.34631/sporl.175Keywords:
supraglottitis, epiglottitisAbstract
Acute supraglottitis, which include acute epiglottitis, is a bacterial infection of the supraglottic structures that may result in a life-threatening upper airway obstruction, eventually fatal.
This study aims to study the clinical presentation and treatment in patients with infectious supraglottitis.
The clinical charts of patients who were admitted with supraglottitis diagnosis between the years of 2004 and 2009 were analized in a retrospective way.
Seventy-eight patients admitted with supraglottitis were studied, 56 (72%) men and 22 (28%) women. Mean age was 47,3 years. The most frequent symptoms were odinophagia (78%),dysphagia (67%) and dyspneia/estridor (42%). Thirty-one (40%) patients had fever on presentation and inflammatory signs were more prominent at epiglottis. Treatment included vigilance, antibiotics and corticosteroids (92%). The mean hospital stay was three days. One patient needed tracheostomy.
Symptoms at presentation in infectious disease of supraglottic structures can be various and their evolution can be potentially fatal. Diagnosis and treatment in time is important.
References
– Briem Birgir, Thorvardsson Ornolfur, Petersen Hannes, Acute Epiglottitis in Iceland 1983-2005 Auris Nasus Larynx, 2009 36: 46-52.
– Deeb Ziad, Acute Supraglottitis in Adults: Early Indicators of Airway Obstruction, Am J Otolaryngol 1997 18 (2): 112-115.
– Berger Gilead, Landau Tali, Berger Sivan, Finkelstein Y, Bernheim J, Ophir D; The Rising Incidence of Adult Acute Epiglottitis ans Epiglottic Abscess, Am J Otolaryngol 2003 24: 374-383.
– Carey Martin, Epiglottitis in Adults, Am J Emerg Med 1996; 14:421-424.
– Chang Yen-Liang, Lo Shih-Hung, Wang Pa-Chun, Shu Yu-Hsiang, Adult Acute Epiglottitis: Experiences in a Taiwanese Setting,
Otolaryngol Head Neck Surg 2005 132: 689-693.
– Youg Lisa, Price Connie, Complicated Adult Epiglottitis due to Methicillin-resistant Staphylococcus aureus, Am J Otolaryngol Head
Neck Med Surg, 2007; 28: 441-443.
– Myer Charles, Candida Epiglottitis: Clinical Implications, Am J Otolaryngol1997; 18 (6): 428-430.
– Bower Charles, Suen James, Adult Acute Epiglottitis Caused by Serratia marcescens, Otolaryngol Head Neck Surg, 1996; 115 (1)156-
- Deutsch Helen, Traumatic Supraglottitis, Int J Pediat Otolaryngol 2004; 68: 851-854.
– Spinale Joseph, Mayo-Smith Michael, Thermal Epiglottitis in Adults: A New Complication of Illicit Drug Use, J Emerg Med, 1997;
(4): 483-485.
– Mcnamara Robert, Koobatian Thomas, Simultaneous Uvulitis and Epiglottitis, Am J Emerg Med 1997; 15:161-163.
– Jerrard David, Olshaker Jonathan, Simultaneous Uvulitis and Epiglottitis Without Fever or Leucocytosis, Am J Emerg Med, 1996; 14: 551-552.
