A Case of Idiopathic Tracheal Stenosis Treated with Tracheal Ring Resection

  • Utakata Ryo
    Department of Otolaryngology, Central Japan International Medical Center
  • Kuze Bunya
    Department of Otolaryngology, Central Japan International Medical Center
  • Yamada Tatsuhiko
    Department of Otolaryngology, Head and Neck Surgery, Ichinomiyanishi Hospital

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Other Title
  • IgG4関連疾患が疑われた声門下狭窄症に対して,気管輪切除による形成術を施行した1例

Abstract

<p>The pathogenesis of subglottic stenosis remains largely unknown. In addition to developing as a sequela of infection, trauma, or endotracheal intubation, there are also idiopathic cases in which the cause cannot be determined. Idiopathic subglottic stenosis is difficult to treat radically and often requires long-term treatment. In this study, we performed cricoid resection, first tracheal ring circumcision, end-to-end anastomosis of the cricoid and trachea, and cricoid cutaneous fistula for subglottic stenosis suspected to be associated with IgG4-related disease, and obtained a favorable prognosis. The patient was diagnosed as idiopathic because there was no underlying disease or medical history, but histopathological diagnosis suggested the possibility of an IgG4-related disease. In the treatment of subglottic stenosis, it is important to properly diagnose the pathology of the stenosis and select the appropriate surgical technique from among various surgical techniques.</p>

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