Laryngotracheal manifestations of rhinoscleroma

C. Philip Amoils, Maisie Shindo

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Rhinoscleroma is a rare, chronic granulomatous disease of infective causation. It usually begins in the nose and may progress to involve the larynx and trachea and cause dysphonia, stridor, and airway obstruction. Early rhinoscleroma is usually successfully treated with oral tetracycline, yet laryngotracheal disease may require operative intervention. The disease is rare in the United States, but with an increase in immigration from endemic areas, otolaryngologists should be familiar with the management of this rare disease. Current literature contains only a few reports describing the manifestations of this disease, mostly in the form of case studies. This study is a retrospective review of our institutional experience with the management of 22 patients with rhinoscleroma, 13 of whom had laryngotracheal involvement. The focus of this report is on the clinical manifestations of laryngotracheal scleroma. All of the patients were treated with long-term antibiotics. Nine patients underwent endoscopy with or without dilation and laser excision. Three patients required emergency tracheostomy, all of whom were ultimately decannulated without any sequelae. A rational approach to management of this unusual disease is provided.

Original languageEnglish (US)
Pages (from-to)336-340
Number of pages5
JournalAnnals of Otology, Rhinology and Laryngology
Volume105
Issue number5
StatePublished - May 1996
Externally publishedYes

Fingerprint

Rhinoscleroma
Rare Diseases
Chronic Granulomatous Disease
Dysphonia
Tracheostomy
Emigration and Immigration
Respiratory Sounds
Airway Obstruction
Larynx
Disease Management
Tetracycline
Trachea
Nose
Causality
Endoscopy
Dilatation
Lasers
Emergencies
Anti-Bacterial Agents

Keywords

  • granuloma
  • Klebsiella rhinoscleromatis
  • laryngotracheal scleroma
  • nose
  • rhinoscleroma

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Laryngotracheal manifestations of rhinoscleroma. / Amoils, C. Philip; Shindo, Maisie.

In: Annals of Otology, Rhinology and Laryngology, Vol. 105, No. 5, 05.1996, p. 336-340.

Research output: Contribution to journalArticle

@article{11c9d9a2e30a433498b4e856908a61ed,
title = "Laryngotracheal manifestations of rhinoscleroma",
abstract = "Rhinoscleroma is a rare, chronic granulomatous disease of infective causation. It usually begins in the nose and may progress to involve the larynx and trachea and cause dysphonia, stridor, and airway obstruction. Early rhinoscleroma is usually successfully treated with oral tetracycline, yet laryngotracheal disease may require operative intervention. The disease is rare in the United States, but with an increase in immigration from endemic areas, otolaryngologists should be familiar with the management of this rare disease. Current literature contains only a few reports describing the manifestations of this disease, mostly in the form of case studies. This study is a retrospective review of our institutional experience with the management of 22 patients with rhinoscleroma, 13 of whom had laryngotracheal involvement. The focus of this report is on the clinical manifestations of laryngotracheal scleroma. All of the patients were treated with long-term antibiotics. Nine patients underwent endoscopy with or without dilation and laser excision. Three patients required emergency tracheostomy, all of whom were ultimately decannulated without any sequelae. A rational approach to management of this unusual disease is provided.",
keywords = "granuloma, Klebsiella rhinoscleromatis, laryngotracheal scleroma, nose, rhinoscleroma",
author = "Amoils, {C. Philip} and Maisie Shindo",
year = "1996",
month = "5",
language = "English (US)",
volume = "105",
pages = "336--340",
journal = "Annals of Otology, Rhinology and Laryngology",
issn = "0003-4894",
publisher = "Annals Publishing Company",
number = "5",

}

TY - JOUR

T1 - Laryngotracheal manifestations of rhinoscleroma

AU - Amoils, C. Philip

AU - Shindo, Maisie

PY - 1996/5

Y1 - 1996/5

N2 - Rhinoscleroma is a rare, chronic granulomatous disease of infective causation. It usually begins in the nose and may progress to involve the larynx and trachea and cause dysphonia, stridor, and airway obstruction. Early rhinoscleroma is usually successfully treated with oral tetracycline, yet laryngotracheal disease may require operative intervention. The disease is rare in the United States, but with an increase in immigration from endemic areas, otolaryngologists should be familiar with the management of this rare disease. Current literature contains only a few reports describing the manifestations of this disease, mostly in the form of case studies. This study is a retrospective review of our institutional experience with the management of 22 patients with rhinoscleroma, 13 of whom had laryngotracheal involvement. The focus of this report is on the clinical manifestations of laryngotracheal scleroma. All of the patients were treated with long-term antibiotics. Nine patients underwent endoscopy with or without dilation and laser excision. Three patients required emergency tracheostomy, all of whom were ultimately decannulated without any sequelae. A rational approach to management of this unusual disease is provided.

AB - Rhinoscleroma is a rare, chronic granulomatous disease of infective causation. It usually begins in the nose and may progress to involve the larynx and trachea and cause dysphonia, stridor, and airway obstruction. Early rhinoscleroma is usually successfully treated with oral tetracycline, yet laryngotracheal disease may require operative intervention. The disease is rare in the United States, but with an increase in immigration from endemic areas, otolaryngologists should be familiar with the management of this rare disease. Current literature contains only a few reports describing the manifestations of this disease, mostly in the form of case studies. This study is a retrospective review of our institutional experience with the management of 22 patients with rhinoscleroma, 13 of whom had laryngotracheal involvement. The focus of this report is on the clinical manifestations of laryngotracheal scleroma. All of the patients were treated with long-term antibiotics. Nine patients underwent endoscopy with or without dilation and laser excision. Three patients required emergency tracheostomy, all of whom were ultimately decannulated without any sequelae. A rational approach to management of this unusual disease is provided.

KW - granuloma

KW - Klebsiella rhinoscleromatis

KW - laryngotracheal scleroma

KW - nose

KW - rhinoscleroma

UR - http://www.scopus.com/inward/record.url?scp=0030013220&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030013220&partnerID=8YFLogxK

M3 - Article

C2 - 8651625

AN - SCOPUS:0030013220

VL - 105

SP - 336

EP - 340

JO - Annals of Otology, Rhinology and Laryngology

JF - Annals of Otology, Rhinology and Laryngology

SN - 0003-4894

IS - 5

ER -