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Supraglottitis/Epiglottitis (ancillary (lateral neck XR, flexible…
Supraglottitis/Epiglottitis
inflammation of structures above the insertion of the glottis in the oropharynx including the epiglottis, vallecula, arytenoids and aryepiglottic folds
aetiology
Viral
Hib >90%
bacterial
streptococci
staphylococcus
gram -ve
pathophysiology
infectious process resulting in inflammation of structures leading to compromised airway
incidence
4.9/100,000
0.02/100,000 since vaccination
diagnosis
clinical
ancillary
lateral neck XR
flexible nasoendoscopy
blood cultures
treatment
airway
cricothyrotomy
Abx
ceftriaxone
supportive
analgesia
anti-emetics
IV fluid
clinical
symptoms
odynophagia/dysphagia
hot potato voice
preceding URTI
always ask about vaccination if you suspect supraglottitis
sore throat
examination
"toxic"
tripod position
drooling/inability to handle secretions
irritability
stridor
cervical adenopathy
respiratory distress
complications
disease
meningitis
epiglottic abscess
cervical adenitis
vocal granuloma
necrotising fasciitis of head and neck
cartilaginous metaplasia of epiglottis
death
pneumonia, empyema, pneumothorax
prognosis
adults = good
high risk of death