Subglottic stenosis is airway narrowing below the vocal folds. Subglottic stenosis causes shortness of breath, especially during times of exertion. When severe, subglottic stenosis, causes noisy breathing during inspiration and expiration.
Subglottic stenosis. Beyond the normal vocal folds is a circular narrowing of the airway.
Causes of subglottic stenosis include:
Scar formed from the tip of a breathing tube
Wegener’s granulomatosis – a condition of blood vessel inflammation
Trauma, such as an inhalation burn injury
Idiopathic subglottic stenosis, or subglottic stenosis for an unknown reason, is a diagnosis made if their is no obvious cause. Patients with idiopathic subglottic stenosis are often young females aged 25-50 with no other significant history.
Symptoms of subglottic stenosis include:
Shortness of breath during exertion and sometimes at rest
Subglottic stenosis is a difficult diagnosis to make, as the subglottis is a difficult area for a physician to see and examine. Patients are often unsuccessfully treated for more common disorders such as asthma before the diagnosis of subglottic stenosis is made.
A laryngoscopy and bronchoscopy is used to diagnose subglottic stenosis. A camera is passed into the airway to look for narrowing. Previously this was performed in the operating room, but with advances in technology can be performed in the office after a patient breathes in local anesthesia.
A CT scan may also be used to evaluate the size of the airway and degree of narrowing.
Treatment for subglottic stenosis:
Treatment for subglottic stenosis enlarges the size of the airway, thus making breathing easier. In the operating room laryngoscopy is performed with the patient asleep. A laser is used to cut the narrowed portion of the airway from the inside. A high pressure balloon dilator is then used to expand the size of the airway. Steroids and other medications are applied to prevent scar formation. This entire procedure is performed through the mouth.
When balloon dilation is inadequate, open surgery can be performed. After making a skin incision in the neck the narrowed portion of the airway is resected. The normal airway is then reattached and sutured together.
A laryngotracheal reconstruction is a surgery in which a piece of cartilage is used to stent the airway open. This more commonly occurs when children are treated for subglottic stenosis.
Throatdisorder.com is an online resource for patients and physicians to learn more about common voice, swallowing, breathing and throat disorders. Throat complaints, from cough to cancer, are a common reason for patients to seek medical treatment. This website developed as a result of Dr. Sunil Verma's passions: that of education, patient care, and interest in technology.
Irvine Location 250 E. Yale Loop, Suite 200 Irvine, CA 92604
Not sure why all those good reviews were posted. They were very misleading and I personally can say that my experience was absolutely negative. I was seen by Dr. Verma on 01/30/20 and there was no one in the waiting room which can be sometimes a bad sign. A nurse spray some lidocaine plus some other component inside my nostrils and told me that a test will be conducted later on by Dr. Verma. I saw Dr. Verma after a few minutes and I told him everything about my chronic cough and the throat infection that I went through a month ago...He did not conducted the test which i received the lidocaine for, he looked at inside my nostrils, my ears, my throat and his response was that I had enough medication, even though I am not taking anything for the last 10 days. He said to come back if the cough continues beyond February. Last night, my ear was popping and felt inflamed with a little bit of pain which usually happens due to my constant coughing; so, I decided to call the Dr.'s office. I was told that he doesn't work on Fridays and that his nurse will helped me out. His nurse which I did not get her name said that Dr. Verma is just a throat specialist that if I have ear problems I should see an ear specialist. I wonder why then he is called an ENT, didn't he go to school to be trained in ear, nose and throat conditions? My ear problem wasn not severed, just needed some basic ear drops for my inflation. The nurse insisted that he only sees throats! I told her that he looked at my ears and nostrils yesterday and that he probably know the basic issues related to ears...besides these three body parts are very well connected. My take is that this practice only cares about taking your money and that the nurse needs to retake her continuing education and get a broader education on the ENT field and about the Dr. what can I tell you his 5 minutes and were easily cover with my 50 dollars copay, I am sure my insurance will double or triple that charge. I hope I don't get charge for the unnecessary lidocaine spray since no test was conducted. I will never go back to this practice and my advice to you who is reading this honest review is that you look somewhere else too.
My wife had an office visit to Dr. Verma recently. The visit took no more than 15 minutes. During the visit, Dr. Verma performed Laryngoscopy on my wife. The procedure took no more than 2 minutes. Today I received the bill. Dr. Verma charged us more than $700 for the office visit, and more than $800 for the Laryngoscopy. With the insurance adjustments, we still have to pay about $1,300. I find it very hard to justify this price for the medical service provided.BTW, Dr. Verma did not cure my wife at all.
I made an appointment to see Dr. Verma for a second opinion and I am happy I did. His office staff is friendly and efficient. He is very knowledgeable and very personable. He carefully listened to my situation before the exam and clearly explained my condition and treatment. I feel very comfortable being treated by him and highly recommend him.
NOTE : The information presented on this site is for educational purposes only, and is not intended to replace consultation with a qualified physician. It may not be appropriate to your individual case, and should not be used in making treatment decisions, especially with regard to medication. Considerable effort is made to ensure that the information on this site is accurate, but medicine is a changing field, and this website is not responsible for errors or omissions. Use of this website acknowledges the above.