Idiopathic cervical tracheal stenosis in an 11-year-old male

Publication date: October 2018

Source: International Journal of Pediatric Otorhinolaryngology, Volume 113

Author(s): Matthew R. Hoffman, Katrina M. Thompson, Jessica Van Beek-King

Abstract

Idiopathic laryngotracheal stenosis is a fibroinflammatory stenosis in persons without alternative explanation such as trauma, intubation, or autoimmune disease. Patients are usually females of child-bearing age. We report on an 11-year-old male who developed progressive dyspnea and stridor. Bronchoscopy revealed 90% stenosis of the cervical trachea. He underwent serial balloon dilation with steroid injection; stenosis decreased to 20%. He had no history of intubation or trauma. Histologic and laboratory workup for autoimmune disease was negative. This report highlights occurrence of a well-known disease in an uncommon population, and alerts providers to consider this when seeing new pediatric patients with symptoms of progressive airway restriction.

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