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Volume 6, Issue 2, December 2020, Page: 31-34
Laryngeal Stenosis, a Complication of Multifocal Tuberculosis
Samaké Djibril, ENT and Head and Neck Surgery Department, Commune V Reference Health Center, Bamako, Mali
Sidibé Youssouf, ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali
Dienta Lassine, ENT and Head and Neck Surgery Department, Mopti Regional Hospital, Mopti, Mali
Haidara Abdoul, ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali
Kouma Alassane, Medical Imaging Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali
Touré Mamadou Karim, Anaesthesia and Resuscitation Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali
Ouattara Kadidia, Pneumo-phtisiology Department, University Hospital Center “Point-G”, Bamako, Mali
Kanouté Tenin, Pneumo-phtisiology Department, University Hospital Center “Point-G”, Bamako, Mali
Soumaoro Siaka, ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Guindo Boubacary, ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Traoré Lamine, ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali
Sanogo Boubacar, ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali
Keita Mohamed Amadou, ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Ag Mohamed Alhousseini, ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Received: Aug. 21, 2020;       Accepted: Sep. 3, 2020;       Published: Sep. 30, 2020
DOI: 10.11648/j.ijo.20200602.13      View  39      Downloads  19
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.
Keywords
Stenosis, Larynx, Tuberculosis
To cite this article
Samaké Djibril, Sidibé Youssouf, Dienta Lassine, Haidara Abdoul, Kouma Alassane, Touré Mamadou Karim, Ouattara Kadidia, Kanouté Tenin, Soumaoro Siaka, Guindo Boubacary, Traoré Lamine, Sanogo Boubacar, Keita Mohamed Amadou, Ag Mohamed Alhousseini, Laryngeal Stenosis, a Complication of Multifocal Tuberculosis, International Journal of Otorhinolaryngology. Vol. 6, No. 2, 2020, pp. 31-34. doi: 10.11648/j.ijo.20200602.13
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[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.
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