Acute epiglottitis

Supraglottic laryngitis:

Also known as acute epiglottitis. This is an inflammation involving the epiglottis. This condition is commonly seen in children. It is commonly caused by H. Influenza. In adults it can be caused by allergy, trauma to epiglottis due to foreign body, GERD etc.

Clinical features:

1. Excessive throat pain

2. Hot potato voice

3. Difficulty in swallowing

4. Difficulty in breathing is common in children. These patients may need tracheostomy.

Indirect laryngoscopic examination shows: Oedematous reddish epiglottis. The aryepiglottic folds may also appear edematous.

Treatment:

1. Rest

2. Voice rest

3. Antibiotics

4. Systemic steroids (Hydrocortisone in doses of 100 mg 6th hourly can be administered)

5. Tracheostomy if there is respiratory distress