Topic
Supraglottitis
About: Supraglottitis is a research topic. Over the lifetime, 135 publications have been published within this topic receiving 1270 citations.
Papers published on a yearly basis
Papers
TL;DR: The demographics, presentation, interventions, and outcomes of acute supraglottitis in the post–Haemophilus influenzae type B (Hib) vaccination era are reviewed and updated recommendations for treatment are made.
Abstract: Objectives/Hypothesis:
To review the demographics, presentation, interventions, and outcomes of acute supraglottitis in the post–Haemophilus influenzae type B (Hib) vaccination era and make updated recommendations for treatment.
Study Design:
Retrospective review.
Methods:
Patients with the discharge diagnosis of acute epiglottitis or supraglottitis from two tertiary hospitals from 1995 to 2005 were identified. Patient characteristics, signs and symptoms at presentation, interventions, hospital course, and outcomes were reviewed and analyzed.
Results:
Sixty adults and one child were identified. The most common presenting symptom was odynophagia (100%), followed by dysphagia (85%) and voice change (75%). Thirteen patients (21%) required airway intervention; 11 patients were intubated, and two required tracheotomy. Stridor, respiratory distress, tachycardia, tachypnea, rapid onset of symptoms, and shortness of breath were all associated with the need for airway intervention. Patients without any of these symptoms recovered without airway intervention. A total of 62% of patients were admitted to the intensive care unit (ICU), and the average length of ICU stay was 2.3 days. All patients were treated with intravenous antibiotics, most commonly ceftriaxone and ampicillin/sulbactam, and 87% of patients received at least one dose of steroids. The average overall length of stay was 3.8 days. There were no deaths. The use of corticosteroids was associated with shorter ICU and overall lengths of stay.
Conclusions:
The patient demographics, presentation, and course of supraglottitis have changed since the widespread use of the Hib vaccine. Recognizing the signs and symptoms associated with airway obstruction is important in the safe and effective management of this condition. Laryngoscope, 2010
88 citations
TL;DR: Supraglottitis is a rapidly progressive, life‐threatening airway emergency in pediatric patients typically caused by Haemophilus influenzae type B (HIB).
Abstract: Supraglottitis is a rapidly progressive, lifethreatening airway emergency in pediatric patients typically caused by Haemophilus influenzae type B (HIB) With distribution of the first efficacious vaccine for HIB in April 1985, changing disease patterns have begun to emerge; however, certain characteristics have remarkably persisted The authors reviewed 252 pediatric patients with acute supraglottitis spanning the prevaccination and postvaccination years 1980 to 1992 at three major regional pediatric hospitals in Massachusetts, Ohio, and California, as well as at two community hospitals in Massachusetts Findings include a decline in disease prevalence in all geographic areas with demographic, etiologic, and management evolution all seen
55 citations
TL;DR: It was concluded that epiglottitis is an inaccurate description of this disorder and that this non-H influenzae adult variety of supraglottitis seemingly can follow a less pernicious course than the classically described infection.
Abstract: Epiglottitis in pediatric patients is an infection caused by Haemophilus influenzae type b, which can lead rapidly to sepsis and an asphyxial death. In an effort to study the cause and clinical course of adult epiglottitis, eight serially hospitalized adult patients with supraglottitis over a ten-month period were prospectively evaluated, including a daily laryngeal examination. Although multiple anatomic sites in the larynx and oropharynx were inflamed, the epiglottis was often not the most involved area and was actually normal in one patient. Bacterial cultures were harvested from blood, the nasopharynx, the oropharynx, and the vallecula in all patients and the preepiglottic space in two patients. In no case was H influenzae demonstrated. No patient developed respiratory compromise. It was concluded that epiglottitis is an inaccurate description of this disorder and that this non— H influenzae adult variety of supraglottitis seemingly can follow a less pernicious course than the classically described infection. ( JAMA 1988;259:563-567)
54 citations
TL;DR: Following diagnosis of acute adult supraglottitis, patients should be hospitalized, started on intravenous antibiotics and their airway closely monitored, as airway obstruction may develop.
Abstract: Acute adult supraglottitis can be a serious, life-threatening disease because of its potential for sudden upper airway obstruction. Symptoms and signs of this disease may be nonspecific and may resemble those of upper respiratory tract infection. Unexplained sore throat with tenderness of the anterior neck over the hyoid bone warrant careful examination by flexible laryngoscopy to rule out laryngeal congestion and edema. Laboratory tests are usually not helpful in picking up the diagnosis. Following diagnosis, patients should be hospitalized, started on intravenous antibiotics and their airway closely monitored, as airway obstruction may develop.
50 citations
Journal Article•
TL;DR: The most common CT findings were thickening of the epiglottis, aryepiglottic folds, false and true vocal cords, obliteration of the preepiglotta fa, thickened of the platysma muscle, and reticulation of the subcutaneous fat.
Abstract: We describe the CT appearance of supraglottitis and its complications in three adults. The most common CT findings were thickening of the epiglottis, aryepiglottic folds, false and true vocal cords, obliteration of the preepiglottic fa, thickening of the platysma muscle, and reticulation of the subcutaneous fat. Multiple loculated fluid-density collections consistent with abscesses were seen in one patient. Although the diagnosis of supraglottitis is generally made on the basis of the patient's history and by direct endoscopy, CT may be used to confirm the diagnosis when an adequate laryngoscopic examination cannot be performed. CT is also useful in evaluating the complications of this disorder.
42 citations
Related Topics (5)
Performance Metrics
| Year | Papers |
|---|---|
| 2021 | 8 |
| 2020 | 4 |
| 2019 | 4 |
| 2018 | 3 |
| 2017 | 5 |
| 2016 | 2 |