Laryngeal stenosis: when hospitalization is needed and how dangerous it is
What is the essence of this disease
Stenosing laryngotracheitis in children is an inflammatory process that is localized in such respiratory organs as the trachea and larynx. The cause is an acute viral disease that can lead to a narrowing of the lumen in the larynx and trachea. With this disease, the formation of inflammatory seals, which resemble rollers under the vocal cords, and abundant separation of mucus and pus. As a result, there is a narrowing of the lumen of the airways - stenosis, which leads to mucopurulent discharge flowing into the bronchi.
The main reason for the occurrence of laryngeal stenosis is a viral infection, which has the ability to affect the mucous membrane of the respiratory tract. Usually, the development of the disease occurs in adenoviral pathologies, parainfluenza, influenza, ARVI.Rare causative factors are also highlighted:
- swelling of the larynx allergic or pseudo-allergic nature;
- infectious diseases;
- injuries of the larynx or the presence of a foreign body in the lumen of the organ.
Symptoms of stenotic laryngotracheitis
Acute stenosing laryngotracheitis is characterized by the following symptoms:
- hoarse, hoarse voice and its complete loss;
- shortness of breath, barking, croaking, rough specific cough;
- bubbling, hoarse, noisy breathing, difficulty breathing in and out;
- skin and muscles are drawn into the gaps between the ribs. Stenosis of the larynx stage I are characterized by difficulty breathing, hoarse voice and cough. At stage II, blue lips, toes and hands, increased heart rate, asthma, shortness of breath. At stage III, laryngeal stenosis manifests itself in a severe condition of the child accompanied by severe shortness of breath, heavy, noisy and difficult breathing, pale skin covered with cold sweat. Stage IV - terminal; in a child, shallow breathing, complete apathy, a rare heartbeat, the pulse is almost not felt. There are chances of fainting, cramps, or cardiac arrest.
Therapy should be carried out only in the hospital under the supervision of a pediatrician and otolaryngologist. Stenosis of the larynx stage I and II is an indication for hospitalization, and for stage III and IV obstruction, urgent and immediate resuscitation measures are required.
Therapy at stage I
Thermal procedures: alcohol compresses, rich warm drinks, hot baths, mustard plasters. Aspirin, analgin, suprastin, diphenhydramine is used for drug treatment.
Stage II Therapy
Similar thermal procedures are required, as well as enhanced drug therapy with intravenous glucose, ephedrine, calcium gluconate and prednisolone.
Stage III-IV Therapy
Urgent measures are needed to restore the child’s breathing: intubation of the trachea with a special tube. Also, inhalation with the use of an anti-edematous mixture, medications are administered only intravenously. Laryngeal stenoses are quite serious diseases requiring the attention of parents, who should not panic, but respond adequately and promptly.