Author(s)
Adam R Coughlin
Tyler J Willman
Seth H Dailey
Affiliation(s)
University of Wisconsin
Abstract:
Objective: To present a case with novel management of idiopathic subglottic stenosis during pregnancy using in-office steroid injection as salvage for airway stenosis after operative balloon dilationMethod: Case report with photo documentationResults: Resolution of dyspnea, improvement in severity of subglottic stenosis, and successful labor and delivery without airway distressConclusion: This case highlights the challenges of airway management in a patient with subglottic stenosis during pregnancy, and is the first to demonstrate improvement in airway restriction using in-office steroid injections for salvage after return of symptoms after operative balloon dilation.Case Report: We present a case with novel management of idiopathic subglottic stenosis during pregnancy using in-office steroid injection as salvage for airway stenosis after operative balloon dilation. A 31 year-old obese woman with an 18 month history of dyspnea was found to have 60% narrowing of the subglottic airway. She was 14 weeks pregnant. She was taken to the operating room for balloon dilation. Dyspnea worsened within six weeks. She then underwent monthly in-office transnasal injections of triamcinolone into the subglottic submucosa. She had resolution of dyspnea, and airway evaluation prior to uncomplicated term labor and delivery revealed 20% subglottic stenosis.