• Ann Otolaryngol Chir Cervicofac · Feb 2008

    Case Reports

    [Subglottic stenosis in Wegener's granulomatosis].

    • D Bakhos, E Lescanne, E Diot, P Beutter, and S Morinière.
    • Service d'ORL et chirurgie cervico-faciale, CHU Bretonneau, 2, boulevard Tonnellé, 37044 Tours, France. bakhos_d@med.univ-tours.fr
    • Ann Otolaryngol Chir Cervicofac. 2008 Feb 1; 125 (1): 35-9.

    ObjectiveDescribe the management of subglottic stenosis in a patient with Wegener's granulomatosis.Material And MethodCase report.ResultsWe report the case of a 26-year-old woman who presented Wegener granulomatosis and subglottic stenosis, with renal, skin, oropharyngeal, nasal, and paranasal locations. Medical treatment had cured all the locations except the subglottic stenosis. An endoscopic dilatation was performed. Two months later, the endoscopic treatment was repeated twice with intralesional corticosteroid injection. One year later, the patient was in complete functional remission.ConclusionRespiratory obstruction in Wegener granulomatosis can result from subglottic stenosis. In this case, intralesional corticosteroid injection seemed to be a good adjunct to local treatment with an effective long-term result.

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