Clinical Study of 122 Cases of Acute Epiglottitis with Hospital Treatment

Matsumoto, Shuichi; Saiki, Tadahiko; Sakaki, Masaru; Watanabe, Futoshi

doi:10.5631/jibirin.102.857

Cited by 3 publications

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been reported that the onset of acute epiglottitis is somewhat more common during the summer season, [10][11][12] but it has also been reported that there is no predilection in terms of time. 6,13,14 In the present study, many cases of acute epiglottitis tended to occur from spring to summer. The most common number of days from onset to consultation is said to be 2 to 3 days, 2,3,11,15 and in the present study, similar results (median of 3 days) were noted.…”

Section: Discussionsupporting

confidence: 43%

A Clinical Study of Patients with Acute Epiglottitis

Kono

Goto

Bandoh

et al. 2018

International Journal of Practical Otolaryngology

View full text Add to dashboard Cite

Acute epiglottitis is an acute inflammation of the upper respiratory airway that rarely causes airway obstruction. A retrospective study was conducted on 115 patients with acute epiglottitis from April 2007 to December 2017 (65 males and 50 females; aged 12–85 years old, median age of 45 years). When counting the number of patients according to the month, from April to September more than 10 patients were treated. Median duration from symptom onset to first visit was 3 days (1–14 days). Eight (7%) of 115 patients had diabetes, and 16 (13.9%) had epiglottic cyst. We divided all the patients into six groups by laryngeal findings according to the classification of Katori and Tsukuda. Number of patients classified as IA, IB, IIA, IIB, IIIA, and IIIB was 41 (35.7%), 21 (18.3%), 22 (19.1%), 15 (13%), 8 (7%), and 8 (7%), respectively. Median duration of hospitalization was 5 days (2–26 days). In the blood test on the first day of hospitalization, the number of white blood cells (WBC) ranged from 3,400 to 25,350/μL (median 10,350/μL) and the C-reactive protein (CRP) ranged from 0.01 to 23.3 mg/dL (median, 2.5 mg/dL). The number of WBC and CRP at the fourth day after the hospitalization was significantly lower than those at the first day. Eight (7%) patients required the airway management such as tracheotomy or cricothyroidotomy. Age, laryngeal finding (severe epiglottis swelling and arytenoid edema; Katori and Tsukuda's classification IIIB), and high inflammatory reaction in blood test (WBC ≥ 20,000/μL and CRP ≥ 20 mg/dL) were the factors that significantly correlated with the airway management.

show abstract

Section: Discussionsupporting

confidence: 43%

A Clinical Study of Patients with Acute Epiglottitis

Kono

Goto

Bandoh

et al. 2018

International Journal of Practical Otolaryngology

View full text Add to dashboard Cite

show abstract

Clinical Study of 73 Cases of Acute Epiglottitis

et al. 2010

View full text Add to dashboard Cite

We retrospectively reviewed clinical findings of 73 patients with acute epiglottitis who were hospitalized and received treatment between April, 1993 and October, 2008 . There were 52 men and 21 women and their ages ranged from 19 to 70 years old （median : 47 ） . The most frequent seasons the patients suffered from acute epiglottitis were spring and autumn. The chief symptoms were sore throat in 67 cases （ 91 . 7 %） , dyspnea in 24 （ 32 . 9 %） and high fever in 20 （ 27 . 2 %） followed by small number of patients with other symptoms, such as incongruity of pharynx etc. We divided the patients into the groups:

show abstract