Ver el código de «Subglottic stenosis»

==Background==
[[File:Cross section of a trachea and esophagus.png|thumb|Cross section of a trachea and esophagus anatomy.]]
[[File:Blausen 0865 TracheaAnatomy.png|thumb|Tracheal anatomy.]]
*A narrowing of the trachea directly inferior to the vocal cords

===Causes===
*Idiopathic (more likely to affect females)
*Congenital abnormality in newborns
*Past mechanical trauma to the airway ([[intubation]] or surgery)
*Autoimmune disorders 
*[[Wegener's granulomatosis]]/ GPA - Approximately 36% of patients with GPA develop subglottic stenosis <ref>Taylor SC, Clayburgh DR, Rosenbaum JT, Schindler JS. Progression and management of Wegener's granulomatosis in the head and neck. Laryngoscope 2012; 122:1695.</ref>
*[[Rheumatoid arthritis]]
*[[Sarcoidosis]]

==Clinical Features==
*Tachypnea/ [[dyspnea]]/ [[hypoxia]]
*Inspiratory [[stridor]]
*Hoarseness/ [[dysphonia]]
*Respiratory accessory muscle usage
*[[Cough]]
*"Tightness" in the neck
*Patients with history of greater than 1 week of intubation

==Differential Diagnosis==
{{Stridor DDx}}

==Evaluation==
*Direct visualization via scope
*CT Neck

==Management==
*ENT referral or immediate securing of airway dependent upon respiratory distress
*Humidified [[oxygen]]
*[[Proton pump inhibitor]]
*Systemic [[steroids]]
*Treat underlying disorder if caused by autoimmune disorder

Definitive Management:
*Dilation
*Cricotracheal resection
*Tracheotomy

==Disposition==
*Admit

==See Also==


==External Links==


==References==
<references/>

[[Category:ENT]]