Practica oto-rhino-laryngologica. Suppl.
Online ISSN : 2185-1557
Print ISSN : 0912-1870
ISSN-L : 0912-1870
Treatment Outcomes in the Heisei Era at the Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine
Clinical Study of 98 Cases of Acute Epiglottitis
Mizuho MiyazakiShintaro SueyoshiTakeharu OnoHisaichiro TanakaRyota MihashiShun-ichi ChitoseHirohito Umeno
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2023 Volume 163 Pages 53-58

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Abstract

We conducted a retrospective review of the clinical findings of 98 patients with acute epiglottitis who were hospitalized and treated between 2008 and 2019. There were 66 men and 32 women, ranging in age from 18 to 88 years (median: 49). The most frequent season of occurrence was the spring season, and the most frequent symptom was sore throat. When classified according to Tanaka’s classification, 67 patients had mild disease (score 1–3) and 31 had severe disease (score 4 or 5). All cases recovered with antibiotic and/or glucocorticoid treatment. Additional airway management, which involved tracheostomy in all cases, was needed in 11 patients. Statistical analysis identified high scores on Tanaka’s classification (scores of 4 or 5) and high white blood cell counts (≥17000 counts/μL) as being significantly correlated with the possibility of airway management.

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© 2023 The Society of Practical Otolaryngology
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