Purulent chondritis of the laryngeal framework cartilages

Ron Eliashar*, Abraham Goldfarb, Menachem Gross, Jean Yves Sichel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

This manuscript reports on our experience with purulent chondritis of the laryngeal cartilages (PCLC), an entity that has not yet been described. Three patients had a diagnosis of PCLC. The probable causes were relapsing polychondritis, a previous prolonged intubation, and an idiopathic cause. The patients suffered from hoarseness and inspiratory stridor for 1 to 3 months before diagnosis. None complained of pain in the neck. Laryngoscopy showed supraglottic edema. A computed tomography scan revealed abscess formation between the intact inner and outer perichondria of the thyroid cartilage. The treatment included rigid endoscopy, external incision and drainage, and prolonged medical therapy. The culture results were Staphylococcus aureus in the first 2 cases and Aspergillus fumigatus in the third. The second patient (in whom the cricoid cartilage was also affected) required emergency tracheotomy. The other 2 patients did not require airway intervention. The rarity of PCLC and the relatively mild symptoms require a high index of suspicion for its diagnosis.

Original languageAmerican English
Pages (from-to)219-222
Number of pages4
JournalAnnals of Otology, Rhinology and Laryngology
Volume114
Issue number3
DOIs
StatePublished - Mar 2005

Keywords

  • Abscess
  • Chondritis
  • Cricoid cartilage
  • Larynx
  • Thyroid cartilage

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