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Laryngeal Stenosis, a Complication of Multifocal Tuberculosis

Received: 21 August 2020     Accepted: 3 September 2020     Published: 30 September 2020
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Abstract

Laryngeal stenosis is a permanent, usually acquired, narrowing of the laryngeal duct. Due to the pandemic of Acquired Immunodeficiency Syndrome (AIDS), the etiology of tuberculosis must be investigated. However, the signs of presumption are not specific. Management is controversial and remains difficult in our work context in an under-medicated country south of the Sahara. The purpose of the work is to report a case of laryngeal stenosis secondary to multifocal tuberculosis to discuss the difficulties associated with its management. This was a 35-year-old smoking patient with 25 packs / year. Admitted on 04/12/2017 to the ENT and Head and Neck Surgery Department for assessment of dysphonia associated with unencrypted slimming. The performed laryngoscopy showed disseminated ulceration of the laryngeal margin, and the histology showed granulomatous laryngitis. The intradermal reaction to tuberculin measured 10 mm. A chest X-ray performed on the face showed a chronic interstitial-bronchial syndrom. The diagnosis of laryngeal tuberculosis secondary to a pulmonary focus was retained. The course was marked by the sudden onset of laryngeal dyspnea requiring urgent tracheotomy. Postoperative examination of the larynx revealed synechia of the larynx. Anti-tuberculosis therapy for six months has resulted in favourable outcomes. However, it was noted a complication type laryngeal stenosis despite the attempted re-stabilization with impossibility to decant the patient. Laryngeal stenosis secondary to multifocal tuberculosis remains a rare and dreadful pathology. Therapeutic success depends on early and adequate management.

Published in International Journal of Otorhinolaryngology (Volume 6, Issue 2)
DOI 10.11648/j.ijo.20200602.13
Page(s) 31-34
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Stenosis, Larynx, Tuberculosis

References
[1] Madeleine M, Daniel B. Traité d’ORL, médecine – sciences Flammarion, 2008, (62) 461-472 p.
[2] Mercy G, Yves J, Christos I, Philippe M. Management of severe pediatric subglottic stenosis with glottic Involvement. J Thorac Cardiovasc Surg 2010; 139: 411-17.
[3] Lacau St Guily J, Périé S et Coiffier L. Sténoses laryngées de l’adulte. Encycl Méd Chir (Editions Scientifiques et Médicales Elsevier SAS, Paris, tous droits réservés), Oto-rhino-laryngologie, 20-735-A-10, 2003, 15 p.
[4] Tanya K, Meyer MD; Jeffrey Wolf, MD. Lysis of Interarytenoid Synechia (Type I Posterior Glottic Stenosis): Vocal Fold Mobility and Airway Results. The American Laryngological, Rhinological and Otological Society, Inc. 2011; 121: 2165–71.
[5] Auerbach O. Laryngeal tuberculosis. Arch Otolaryngol 1946; 44: 191-201.
[6] Dye C, Scheele S, Dolin P. Global burden of tuberculosis, estimated incidence, prevalence, and mortality by country. JAMA 1999; 282: 677-686.
[7] Millard FJ. The rising incidence of tuberculosis. J R Soc Med 1996; 89: 497-500.
[8] Spence DP, Hotchkiss J, Williams CS, Davies PD. Tuberculosis and poverty. Br Med J 1993; 307: 759-761.
[9] Portier F, Cartry F et Nowak C. Tuberculose laryngée. Encycl Méd Chir (Editions Scientifiques et Médicales Elsevier SAS, Paris, tous droits réservés), Oto-rhino-laryngologie, 20-575-A-10, 2003, 4 p.
[10] Ramandan HH, Tarazi AE, Baroudy FM. Laryngeal tuberculosis: presentation of 16 cases and review of the literature. J Otolaryngol 1993; 22: 39-41.
[11] Delap TG, Lavy JA, Alusi G, Quiney RE. Tuberculosis presenting as a laryngeal tumour. J Infect 1997; 34: 139-141.
[12] Lightfoot SA. Laryngeal tuberculosis masquerading as carcinoma. J Am Board Fam Pract 1997; 10: 374-376.
[13] Konishi K, Yamane H, Iguchi H, Nakagawa T, Shibata S, Takayama M et al. Study of tuberculosis in the field of otorhinolaryngology in the past 10 years. Acta Otolaryngol [suppl] 1998; 538: 244-249.
[14] Richter B, Fradis M, Kohler G, Ridder GJ. Epiglottic tuberculosis: differential diagnosis and treatment. Case report and review of the literature. Ann Otol Rhinol Laryngol 2001; 110: 197-201.
[15] Moon WK, Han MH, Chang KH, Im JG, Kim HJ, Sung KJ et al. CT and MR imaging of head and neck tuberculosis. Radiographics 1997; 17: 391-402.
[16] Lano CF Jr, Duncavage JA, Reinisch L, Ossoff RH, Courey MS, Netterville JL. Laryngotracheal reconstruction in the adult: aten year experience. AnnOtol Rhinol Laryngol 1998; 107: 92-97.
[17] McCaffrey TV. Managementof laryngotracheal stenosis on the basis of site and severity. Otolaryngol Head Neck Surg 1993; 109 (3 Pt 1): 468-473.
[18] Pearson FG. Technique of management of subglottic stenosis. Chest Surg Clin N Am 1996; 6: 683-692.
Cite This Article
  • APA Style

    Samaké Djibril, Sidibé Youssouf, Dienta Lassine, Haidara Abdoul, Kouma Alassane, et al. (2020). Laryngeal Stenosis, a Complication of Multifocal Tuberculosis. International Journal of Otorhinolaryngology, 6(2), 31-34. https://doi.org/10.11648/j.ijo.20200602.13

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    ACS Style

    Samaké Djibril; Sidibé Youssouf; Dienta Lassine; Haidara Abdoul; Kouma Alassane, et al. Laryngeal Stenosis, a Complication of Multifocal Tuberculosis. Int. J. Otorhinolaryngol. 2020, 6(2), 31-34. doi: 10.11648/j.ijo.20200602.13

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    AMA Style

    Samaké Djibril, Sidibé Youssouf, Dienta Lassine, Haidara Abdoul, Kouma Alassane, et al. Laryngeal Stenosis, a Complication of Multifocal Tuberculosis. Int J Otorhinolaryngol. 2020;6(2):31-34. doi: 10.11648/j.ijo.20200602.13

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  • @article{10.11648/j.ijo.20200602.13,
      author = {Samaké Djibril and Sidibé Youssouf and Dienta Lassine and Haidara Abdoul and Kouma Alassane and Touré Mamadou Karim and Ouattara Kadidia and Kanouté Tenin and Soumaoro Siaka and Guindo Boubacary and Traoré Lamine and Sanogo Boubacar and Keita Mohamed Amadou and Ag Mohamed Alhousseini},
      title = {Laryngeal Stenosis, a Complication of Multifocal Tuberculosis},
      journal = {International Journal of Otorhinolaryngology},
      volume = {6},
      number = {2},
      pages = {31-34},
      doi = {10.11648/j.ijo.20200602.13},
      url = {https://doi.org/10.11648/j.ijo.20200602.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20200602.13},
      abstract = {Laryngeal stenosis is a permanent, usually acquired, narrowing of the laryngeal duct. Due to the pandemic of Acquired Immunodeficiency Syndrome (AIDS), the etiology of tuberculosis must be investigated. However, the signs of presumption are not specific. Management is controversial and remains difficult in our work context in an under-medicated country south of the Sahara. The purpose of the work is to report a case of laryngeal stenosis secondary to multifocal tuberculosis to discuss the difficulties associated with its management. This was a 35-year-old smoking patient with 25 packs / year. Admitted on 04/12/2017 to the ENT and Head and Neck Surgery Department for assessment of dysphonia associated with unencrypted slimming. The performed laryngoscopy showed disseminated ulceration of the laryngeal margin, and the histology showed granulomatous laryngitis. The intradermal reaction to tuberculin measured 10 mm. A chest X-ray performed on the face showed a chronic interstitial-bronchial syndrom. The diagnosis of laryngeal tuberculosis secondary to a pulmonary focus was retained. The course was marked by the sudden onset of laryngeal dyspnea requiring urgent tracheotomy. Postoperative examination of the larynx revealed synechia of the larynx. Anti-tuberculosis therapy for six months has resulted in favourable outcomes. However, it was noted a complication type laryngeal stenosis despite the attempted re-stabilization with impossibility to decant the patient. Laryngeal stenosis secondary to multifocal tuberculosis remains a rare and dreadful pathology. Therapeutic success depends on early and adequate management.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Laryngeal Stenosis, a Complication of Multifocal Tuberculosis
    AU  - Samaké Djibril
    AU  - Sidibé Youssouf
    AU  - Dienta Lassine
    AU  - Haidara Abdoul
    AU  - Kouma Alassane
    AU  - Touré Mamadou Karim
    AU  - Ouattara Kadidia
    AU  - Kanouté Tenin
    AU  - Soumaoro Siaka
    AU  - Guindo Boubacary
    AU  - Traoré Lamine
    AU  - Sanogo Boubacar
    AU  - Keita Mohamed Amadou
    AU  - Ag Mohamed Alhousseini
    Y1  - 2020/09/30
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijo.20200602.13
    DO  - 10.11648/j.ijo.20200602.13
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
    SP  - 31
    EP  - 34
    PB  - Science Publishing Group
    SN  - 2472-2413
    UR  - https://doi.org/10.11648/j.ijo.20200602.13
    AB  - Laryngeal stenosis is a permanent, usually acquired, narrowing of the laryngeal duct. Due to the pandemic of Acquired Immunodeficiency Syndrome (AIDS), the etiology of tuberculosis must be investigated. However, the signs of presumption are not specific. Management is controversial and remains difficult in our work context in an under-medicated country south of the Sahara. The purpose of the work is to report a case of laryngeal stenosis secondary to multifocal tuberculosis to discuss the difficulties associated with its management. This was a 35-year-old smoking patient with 25 packs / year. Admitted on 04/12/2017 to the ENT and Head and Neck Surgery Department for assessment of dysphonia associated with unencrypted slimming. The performed laryngoscopy showed disseminated ulceration of the laryngeal margin, and the histology showed granulomatous laryngitis. The intradermal reaction to tuberculin measured 10 mm. A chest X-ray performed on the face showed a chronic interstitial-bronchial syndrom. The diagnosis of laryngeal tuberculosis secondary to a pulmonary focus was retained. The course was marked by the sudden onset of laryngeal dyspnea requiring urgent tracheotomy. Postoperative examination of the larynx revealed synechia of the larynx. Anti-tuberculosis therapy for six months has resulted in favourable outcomes. However, it was noted a complication type laryngeal stenosis despite the attempted re-stabilization with impossibility to decant the patient. Laryngeal stenosis secondary to multifocal tuberculosis remains a rare and dreadful pathology. Therapeutic success depends on early and adequate management.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • ENT and Head and Neck Surgery Department, Commune V Reference Health Center, Bamako, Mali

  • ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali

  • ENT and Head and Neck Surgery Department, Mopti Regional Hospital, Mopti, Mali

  • ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali

  • Medical Imaging Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali

  • Anaesthesia and Resuscitation Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali

  • Pneumo-phtisiology Department, University Hospital Center “Point-G”, Bamako, Mali

  • Pneumo-phtisiology Department, University Hospital Center “Point-G”, Bamako, Mali

  • ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali

  • ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali

  • ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali

  • ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali

  • ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali

  • ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali

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