Supraglottitis: An airway emergency

Miss Rungphloy Jaroenchasri, Mr Fergus Wood, Dr Isaac Chan
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Abstract

Supraglottitis is a life-threatening condition and refers to inflammation of the epiglottis and the surrounding supraglottic structures. Children usually present with only a swollen epiglottis, termed epiglottitis. Fortunately, the incidence of epiglottitis in children has declined following routine Haemophilus influenzae type B vaccination, but the incidence in adults has increased. Supraglottitis has a high morbidity and mortality from the associated risk of airway obstruction. Therefore, early recognition and urgent secondary care referral is paramount. However, the presentation of this condition can be subtle and differs between children and adults; this can lead to difficulties in diagnosis. This article will review the clinical presentation and management of supraglottitis, an important differential for acute sore throat and hoarse voice.
声门上炎气道急症
声门上炎是一种危及生命的疾病,是指会厌和周围声门上结构的炎症。儿童通常仅表现为会厌肿胀,称为会厌炎。幸运的是,在常规接种 B 型流感嗜血杆菌疫苗后,儿童会厌炎的发病率有所下降,但成人的发病率却有所上升。会厌炎具有气道阻塞的相关风险,发病率和死亡率都很高。因此,早期识别和紧急转诊至关重要。然而,这种疾病的表现可能很微妙,儿童和成人的表现也不尽相同,这可能导致诊断上的困难。本文将回顾声门上炎的临床表现和处理方法,它是急性咽喉炎和声音嘶哑的重要鉴别依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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