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From the question on page 483
Scar tissue has caused cicatricial supraglottic stenosis from histologically confirmed mucous membrane pemphigoid.
Dysphonia (from anterior glottic scarring) and dyspnoea (from posterior scarring) may progress to severe stenosis, stridor and life-threatening airway obstruction. Laryngeal stenosis predominantly affects children, either as a result of a congenital glottic web or papillomatosis. The subglottis is the most common site for a stricture secondary to an intubation injury. Inflammatory causes include croup, epiglottitis and laryngotracheobronchitis. Adult causes are shown in box 1.1
Supraglottic
Transglottic
Subglottic
Other
Mucous membrane pemphigoid is a rare chronic systemic autoimmune disease affecting the mucous membranes. Antibodies bind to the basement membrane causing subepidermal bullae which rupture with scarring. There is a preponderance of females and the sixth
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EISSN 1468-3296
ISSN 0040-6376
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