2025 Volume 71 Issue 5 Pages 249-254
Recently, some patients have developed severe posterior glottic stenosis (PGS) following treatment for severe pneumonia due to COVID-19. A 40-year-old man presented to our department with progressively worsening breathlessness after severe pneumonia caused by COVID-19 and was diagnosed with PGS (Bogdasarian classification Type IV). Initially, the posterior glottic scar was resected. Although his breathlessness initially improved, the stenosis recurred, and he underwent arytenoidectomy, scar resection, and mucosal coverage of the raw surface to maintain the posterior glottic space. After the second surgery, the stenosis did not recur, and tracheostoma closure was successfully achieved. Several reports have identified the risk factors for PGS following COVID-19 pneumonia, and this case appears to have been at high risk. For patients with PGS following COVID-19, a treatment strategy tailored to the pathogenesis and alignment with patient preferences is essential.
