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Balloon dilatation to treat plasmacytosis of the supraglottic larynx

Published online by Cambridge University Press:  21 August 2012

S G Mistry ,
G J Watson  and
M P Rothera
S G Mistry*
Affiliation:
Department of Otolaryngology, Salford Royal NHS Foundation Trust, UK
G J Watson
Affiliation:
Department of Otolaryngology, Salford Royal NHS Foundation Trust, UK
M P Rothera
Affiliation:
Department of Otolaryngology, Salford Royal NHS Foundation Trust, UK
*
Address for correspondence: Mr S G Mistry, Department of Otolaryngology, Salford Royal NHS Foundation Trust, Stott Lane, Salford M6 8HD, UK Fax: +44 (0)161 206 3180 E-mail: smis83@doctors.org.uk
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Abstract

Objective:

We discuss the use of balloon dilatation to relieve supraglottic stenosis caused by mucous membrane plasmacytosis.

Case report:

A 54-year-old man with a known diagnosis of mucous membrane plasmacytosis presented with dysphonia and worsening airway obstruction which required a tracheostomy. He underwent balloon dilatation of the supraglottic larynx using an angioplasty balloon within sequentially sized endotracheal tubes. This enabled successful decannulation, with minimal re-stenosis at eight-month follow up.

Conclusion:

To our knowledge, this is the first reported case of supraglottic stenosis caused by plasmacytosis to be successfully treated using this method. We have shown that this minimally invasive technique deals effectively with a complex airway and minimises re-stenosis.

Keywords

LarynxPlasmacytosisSupraglottisAirway ObstructionBalloon Dilatation
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 10 , October 2012 , pp. 1077 - 1080
Copyright
Copyright © JLO (1984) Limited 2012

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