Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 2 Issue 10

Wegener’s Granulomatosis and Subglottic Stenosis - A Case Report

Tasneem Dhansura, Aasthaa*, Sushil Chauhan, Jaffer Husein and Priyanka Agrawal

Department of Anaesthesia, Saifee Hospital, India

*Corresponding Author: Aasthaa, Department of Anaesthesia, Saifee Hospital, India.

Received: June 10, 2020; Published: September 26, 2020

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Abstract

 Wegener’s Granulomatosis also known more recently as Granulomatosis with polyangiitis, is a systemic autoimmune vascular disorder which usually affects small and medium sized vessels of the body. Often there is presence of necrotising granulomatosis resulting in formation of localised granulomas along with the tissue damage [1,2]. It commonly involves various organ systems like Nose, Lungs, Nasal sinuses, Trachea, Kidneys, Heart, Skin, Eyes, Ear and various body joints often resulting in cough, chest pain, haemoptysis, sinusitis, otitis, rhinitis, subglottic stenosis, nasal septum perforation, nasal mucosa ulcers, glomerulonephritis, pericarditis, skin lesions [3]. Here we report a case of Wegener’s Granulomatosis scheduled for Bilateral Functional Endoscopic Sinus Surgery (FESS) and Bilateral Myringotomy with Grommet Insertion requiring General Anaesthesia.

Keywords: Wegener’s Granulomatosis; Bilateral Functional Endoscopic Sinus Surgery (FESS); Bilateral Myringotomy

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References

  1. Martinez Del Pero M., et al. “Long-term Outcome of Airway Stenosis in Granulomatosis With Polyangiitis (Wegener Granulomatosis): An Observational Study”. JAMA Otolaryngology-Head and Neck Surgery 11 (2014): 1038-1044.
  2. Langford C. “Clinical features and diagnosis of small-vessel vasculitis”. Cleveland Clinic Journal of Medicine3 (2012): S3-S15.
  3. Martinez F., et al. “Common and uncommon manifestations of Wegener granulomatosis at chest CT: radiologic-pathologic correlation”. Radiographics 32 (2012): 51-69.
  4. Riley RH., et al. “Airway crisis during anesthesia in a patient with Wegener's granulomatosis”. Journal of Anesthesia 11 (1997): 234-236.
  5. Harper SL., et al. “Wegener's granulomatosis: The relationship between ocular and systemic disease”. Journal of Rheumatology5 (2001): 1025-1032.
  6. Sharma J., et al. “Wegener’sGranulomatosis and Anaesthetic Implications: A Case Report”. International Journal of Medical Research Professionals 1 (2018): 479-481.
  7. Roger M Slater., et al. “Anaesthetic airway management of subglottic stenosis in Wegener's Granulomatosis”. BJA: British Journal of Anaesthesia 107 (2011).
  8. Sear J. “Effect of renal function and failure”. In Park GR, Sladen RN (eds): Sedation and Anesthesia in the Critically Ill. Oxford, Blackwell Science (1995): 108-129.
  9. Sarıtaş TB., et al. “Limited-Form Wegener Granulomatosis Case: Anaesthetic Approach and Literature Review”. Turkish Journal of Anaesthesiology and Reanimation 6 (2014): 365-367.
  10. Pandit JJ and Solan TG. “Regional anesthesia in Wegener’s granulomatosis”. AANA Journal - The AANA's Official Scholarly Journal 66 (1998): 538-539.
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Citation

Citation: Aasthaa., et al. “Wegener’s Granulomatosis and Subglottic Stenosis - A Case Report". Acta Scientific Otolaryngology 2.10 (2020): 23-25.




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Acceptance rate34%
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Impact Factor0.871

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