Microsoft Word - IJHHS IMAM 23rd ASC 2022


  
 

 S25

 
Multi-Modality Treatment of Supraglottic Stenosis Secondary to Laryngeal Pemphigus: Sharing 
Experience in UiTM  
  
Noor Shairah Mat Barhan1, Muhammad Ariff Sobani1, Masaany Mansor1,2, Intan Kartika Kamarudin1,2, 
Norazila Abdul Rahim1,2  
  
Supraglottic stenosis is a rare subsite of laryngotracheal stenosis. In the literature, the common causes 
of supraglottic stenosis are radiation therapy or autoimmune disease. We present an experience in 
dealing with supraglottic stenosis secondary to laryngeal pemphigus.  

This is a case of a 36-year-old lady with supraglottic stenosis secondary to laryngeal pemphigus. 
She presented to our clinic with shortness of breath and mild stridor mainly on exertion. An office-
based procedure of trans-nasal scope-guided with serial intralesional steroid injections (SILSI) using 
single-use Olympus Injector Force Injection Needles Max 23G, was done which halted the progression 
of the disease. Eventually, balloon dilatation under jet ventilation was performed to widen the size of 
the stenosis and reduce the symptoms. Dilatation was performed using CRE PRO Wire-guided balloon 
dilatation catheter from size 8mm to 12mm with respective pressure applied for about 2 minutes without 
interruption of spontaneous breathing, oxygenation, or ventilation. Incision of stenosis segment with 
micro scissor was performed in between balloon dilatation and the procedure was completed with 
intralesional steroid injections. Upon follow-up, we noted clinical improvement of the stenosis as well 
as the patient’s health perception as measured by EQ-5D-5L.  

Patients with supraglottic stenosis usually need tracheostomy for breathing. This multimodality 
treatment might be required to treat supraglottic stenosis.  Endoscopic treatment can result in favourable 
outcomes for the patient without needing a tracheostomy.  
  
Keywords: Supraglottic stenosis, Intralesional steroid injection, Balloon dilatation  
  

1. Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Al-Sultan 
Abdullah UITM, Puncak Alam, Selangor, Malaysia   
2. Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, 
Universiti Teknologi MARA, Sungai Buloh Campus, Selangor, Malaysia  

  
 

 

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Correspondence to:  Norazila Abdul Rahim, Lecturer and Otorhinolaryngology Head and Neck 
Surgeon, Department of Otorhinolaryngology, Faculty of Medicine, Universiti Teknologi MARA, 
Sungai Buloh, Selangor, Malaysia, norazila3587@uitm.edu.my   

  
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DOI: http://dx.doi.org/10.31344/ijhhs.v7i70.527