2019 年 31 巻 01 号 p. 34-39
We herein report a patient with late-onset laryngeal stenosis after burn and inhalation injury. The patient, an 18-year-old male, suffered a burn and smoke inhalation injury. Because of laryngeal edema, the patient was intubated for two days followed by tracheotomy. Fourteen days later, endoscopic laryngoscopy revealed normal laryngeal finding. However, 14 months after the injury, he started to complain of hoarseness and respiratory distress. Given findings of a severe reduction in oxygen saturation, the patient underwent tracheotomy. A laryngeal examination revealed posterior glottic adhesion that was released by laryngeal microsurgery with steroid injection. Over one year of follow-up, no recurrence of his laryngeal stenosis was observed. Although late-onset laryngeal stenosis after burn and inhalation injury is rare, clinicians should consider the risk of this potentially fatal condition in susceptible patients.