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Successful management of subglottic stenosis in pregnancy
  1. Shenghao Fang and
  2. Poonam Pai B H
  1. Department of Anesthesiology, Perioperative and Pain Medicine, Mount Sinai West And Morningside Hospitals, Mount Sinai Health System, New York, New York, USA
  1. Correspondence to Dr Poonam Pai B H; poonam.paibantwalhebbalasankatte{at}


Evaluation and management of subglottic stenosis in pregnancy is challenging. It often is not only a multidisciplinary approach between obstetricians, otolaryngologists (ENT surgeons) and anesthesiologists, but also requires a thorough understanding of possible foreseen complications by the patient as well. Hence, whenever we are presented with a challenging case requiring multidisciplinary approach involving team of physicians from different specialties, it is routine practice to huddle regarding the preoperative, intraoperative and postoperative management and care. We present a case of a 37-year-old woman with a known history of idiopathic subglottic stenosis, 16 weeks’ pregnant, G4P1, with a surgical history significant for two previous subglottic dilations in the past and who now presented with an audible stridor and shortness of breath on activity. We highlighted the unique challenges encountered and the corresponding management adopted. This is a case of successful management of symptomatic worsening of subglottic stenosis managed during pregnancy.

  • anaesthesia
  • ear
  • nose and throat/otolaryngology
  • pregnancy

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  • Contributors Both authors helped with the case, manuscript preparation and proof reading.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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