Subglottic stenosis occurs when the airway below the vocal cords (the subglottis) narrows abnormally. It is a key zone because it is the narrowest region of a child's airway. The subglottis is encircled by the cricoid cartilage, a whole ring of cartilage, so it cannot stretch out easily in case of swelling or scarring.
What are the two primary forms of subglottic stenosis in children?
There are two major types:
Congenital SGS: The narrowing occurs at birth due to airway development issues during fetal life, usually involving the cricoid cartilage.
Acquired SGS: Develops after birth due to airway trauma or inflammation, commonly from prolonged intubation or severe infections.
What are the common symptoms of subglottic stenosis in children?
Stridor
Recurring croup
Breathing difficulty (dyspnea)
Retractions
Weak or hoarse voice
Poor weight gain
How is subglottic stenosis diagnosed in children?
Medical history and physical examination
Imaging studies like X-rays and CT scan
Laryngoscopy and Bronchoscopy: Direct visualization of the airway under anesthesia using a scope
What is the treatment of subglottic stenosis in children?
Observation: For mild cases
Medical management: Treatment of GERD and other conditions
Open surgical reconstruction (LTR): Cartilage graft placement
Partial Cricotracheal Resection (CTR): Severe stenosis treatment
Tracheostomy: For airway stabilization
What is the outlook for infants and children with subglottic stenosis?
The outcome depends on severity and treatment response. Most children improve with appropriate interventions, though some may require multiple procedures or lifelong follow-up.
What are the potential complications of subglottic stenosis?
Respiratory distress and failure
Recurring infections
Need for tracheostomy
Voice changes
Feeding and aspiration problems
Surgical complications
Developmental delay
What is the long-term care needed for children with subglottic stenosis?
Regular ENT follow-ups
Speech and feeding therapy
Pulmonology support
Management of associated conditions
Parental education for home monitoring
Why choose Tender Palm Super-Speciality Hospital for subglottic stenosis treatment in children in Lucknow, India?
Tender Palm Super-Speciality Hospital has the most trusted team of Pediatric ENT specialists and surgeons with advanced diagnostic equipment and child-friendly care for Pediatric Subglottic Stenosis treatment in Lucknow, India. Our Pediatric ENT department follows international safety standards and has years of experience in successfully managing children's ear, nose and throat diseases.
To seek an expert consultation for subglottic stenosis treatment in children in Lucknow, India: