Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-24T00:42:07.217Z Has data issue: false hasContentIssue false
  • English
  • Français

Laryngotracheal reconstruction for relapsing polychondritis: case report and review of the literature

Published online by Cambridge University Press:  07 August 2013

C Xie ,
N Shah ,
P L Shah  and
G Sandhu
C Xie*
Affiliation:
ENT Department, Charing Cross Hospital, Imperial College Trust, London, UK
N Shah
Affiliation:
University College London Medical School, University College London, UK
P L Shah
Affiliation:
Respiratory Medicine Department, Royal Brompton and Harefield NHS Foundation Trust, London, UK Respiratory Medicine Department, Chelsea and Westminster Hospital, London, UK
G Sandhu
Affiliation:
ENT Department, Charing Cross Hospital, Imperial College Trust, London, UK
*
Address for correspondence: Ms C Xie, Flat 24, College House, 52 Putney Hill, London SW15 6BF, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Relapsing polychondritis is a multi-system autoimmune disease characterised by the inflammation and destruction of cartilaginous structures. The most common sites are the pinna, nose, laryngotracheobronchial tree and peripheral joints. Airway involvement occurs in up to half of patients affected, at any disease stage. It is the most severe and life-threatening aspect of the disease, and proves to be a therapeutic challenge.

Objectives:

This article reports our experience of performing laryngotracheal reconstruction in a patient with relapsing polychondritis. A review of the literature is presented, with a focused discussion of airway treatment options.

Methods:

Laryngotracheal reconstruction for relapsing polychondritis was performed using hyoid bone pedicled on sternohyoid muscle.

Conclusion:

Airway management in relapsing polychondritis can improve quality of life and palliate patients effectively.

Keywords

LarynxTracheaPolychondritisRelapsingOtorhinolaryngological Surgical ProceduresDiagnosis
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 9 , September 2013 , pp. 932 - 935
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Ernst, A, Rafeq, S, Boiselle, P, Sung, A, Reddy, C, Michaud, G et al. Relapsing polychondritis and airway involvement. Chest 2009;135:1024–30CrossRefGoogle ScholarPubMed
2Michet, CJ, McKenna, CH, Luthra, HS, O'Fallon, WM. Relapsing polychondritis: survival and predictive role of early disease manifestations. Ann Intern Med 1986;104:74–8CrossRefGoogle ScholarPubMed
3McAdam, LP, O'Hanlan, MA, Bluestone, R, Pearson, CM. Relapsing polychondritis: prospective study of 23 patients and a review of the literature. Medicine (Baltimore) 1976;55:193–215CrossRefGoogle Scholar
4Mohsenifar, Z, Tashkin, DP, Carson, SA, Bellamy, PE. Pulmonary function in patients with relapsing polychondritis. Chest 1982;81:711–17CrossRefGoogle ScholarPubMed
5Herman, JH. Polychondritis. In: Kelley, WN, Harris, ED, Ruddy, S, Sledge, CB, eds. Textbook of Rheumatology, 3rd edn. Philadelphia: WB Saunders, 1989;1513–22Google Scholar
6Damiani, JM, Levine, HL. Relapsing polychondritis. Laryngoscope 1979;89:929–46CrossRefGoogle ScholarPubMed
7Cansiz, H, Yilmaz, S, Duman, C. Relapsing polychondritis: a case with subglottic stenosis and laryngotracheal reconstruction. J Otolaryngol 2007;36:E82–4Google ScholarPubMed
8Karaman, E, Duman, C, Cansiz, H, Yilmaz, M, Ibrahimov, M. Laryngotracheal reconstruction at relapsing polychondritis. J Craniofac Surg 2010;21:211–12CrossRefGoogle ScholarPubMed
9Blumin, JH, Johnston, N. Evidence of extraesophageal reflux in idiopathic subglottic stenosis. Laryngoscope 2011;121:1266–73CrossRefGoogle ScholarPubMed
10Valdez, TA, Shapshay, SM. Idiopathic subglottic stenosis revisited. Ann Otol Rhinol Laryngol 2002;111:690–5CrossRefGoogle ScholarPubMed
11Dedo, HH, Catten, MD. Idiopathic progressive subglottic stenosis: findings and treatment in 52 patients. Ann Otol Rhinol Laryngol 2001;110:305–11CrossRefGoogle ScholarPubMed
12Spraggs, P, Tostevin, PM, Howard, D. Management of laryngotracheobronchial sequelae and complications of relapsing polychondritis. Laryngoscope 1997;107:936–41CrossRefGoogle ScholarPubMed
13Looper, E. Use of the hyoid bone as a graft in laryngeal stenosis. Arch Otolaryngol Head Neck Surg 1938;28:106–11CrossRefGoogle Scholar
14Ward, PH, Canalis, R, Fee, W, Smith, G. Composite hyoid sternohyoid muscle grafts in humans. Its use in reconstruction of subglottic stenosis and the anterior tracheal wall. Arch Otolaryngol 1977;103:531–4CrossRefGoogle ScholarPubMed
15Cansiz, H, Yener, HM, Sekercioglu, N, Gunes, M. Laryngotracheal reconstruction with a muscle-pedicle hyoid bone flap: a series of 23 patients. Ear Nose Throat J 2004;83:424–7CrossRefGoogle ScholarPubMed
16Trentham, DE, Le, CH. Relapsing polychondritis. Ann Intern Med 1998;129:114–22CrossRefGoogle ScholarPubMed
17Behar, JV, Choi, YW, Hartman, TA, Allen, NB, McAdams, HP. Relapsing polychondritis affecting the lower respiratory tract. AJR Am J Roentgenol 2002;178:173–7CrossRefGoogle ScholarPubMed
18Eng, J, Sabanathan, S. Airway complications in relapsing polychondritis. Ann Thorac Surg 1991;51:686–92CrossRefGoogle ScholarPubMed
19Rafeq, S, Trentham, D, Ernst, A. Pulmonary manifestations of relapsing polychondritis. Clin Chest Med 2010;31:513–18CrossRefGoogle ScholarPubMed
20Lahmer, T, Treiber, M, Werder, A, Foerger, F, Knopf, A, Heemann, U et al. Relapsing polychondritis: an autoimmune disease with many faces. Autoimmun Rev 2010;9:540–6CrossRefGoogle ScholarPubMed