The Laryngoscope · 2025
A Case Series of Sixteen Patients With Coronavirus Disease-Related Laryngopharyngitis.
СтатьяНазвание и аннотация: Перевод в очереди
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Nakabayashi Haruka, Tsuda Junko, Tarumoto Shunsuke, Yagyu Kengo, Hori Takeshi, Takemoto Yosuke, Hashimoto Makoto, Sugahara Kazuma
Аннотация
OBJECTIVES: Few studies have examined the characteristics of coronavirus disease (COVID-19)-related laryngopharyngitis. Our department has accumulated numerous laryngofiberscopic images of patients with COVID-19-related laryngopharyngitis. This study aimed to investigate the characteristics and clinical courses of these patients.
METHODS: Laryngofiberscopic findings were examined in 16 patients with COVID-19 who were treated as inpatients at the Department of Otolaryngology, Yamaguchi University Hospital, Japan between August 1, 2022, and September 30, 2023.
RESULTS: The patients ranged in age from 21 to 78 years (mean age, 44 years), with a male-to-female ratio of 5:11. Pneumonia was observed in two patients, one of whom had aspiration pneumonia. Laryngofiberscopic examination revealed severe inflammation of the laryngeal cavity.
CONCLUSION: The characteristic findings included bilateral arytenoid edema, white coating of the larynx and pseudomembrane formation, inflammation of the epiglottic laryngeal surface, and subglottic laryngitis. Many patients exhibited a combination of these findings. Tracheal intubation was required in one patient, while the others recovered promptly.
LEVEL OF EVIDENCE: Level 4.
METHODS: Laryngofiberscopic findings were examined in 16 patients with COVID-19 who were treated as inpatients at the Department of Otolaryngology, Yamaguchi University Hospital, Japan between August 1, 2022, and September 30, 2023.
RESULTS: The patients ranged in age from 21 to 78 years (mean age, 44 years), with a male-to-female ratio of 5:11. Pneumonia was observed in two patients, one of whom had aspiration pneumonia. Laryngofiberscopic examination revealed severe inflammation of the laryngeal cavity.
CONCLUSION: The characteristic findings included bilateral arytenoid edema, white coating of the larynx and pseudomembrane formation, inflammation of the epiglottic laryngeal surface, and subglottic laryngitis. Many patients exhibited a combination of these findings. Tracheal intubation was required in one patient, while the others recovered promptly.
LEVEL OF EVIDENCE: Level 4.