Langostinos - the narrowing of larynx until its closure. There are langostinos congenital (rarely) and acquired (often), acute and chronic. Causes of laryngostenosis different: inflammatory and non-inflammatory processes (podvysotsky laryngitis, allergic swelling and others), foreign body, infections (influenza, measles, scarlet fever, diphtheria, and others), injury to the larynx (mechanical, thermal, chemical), neoplasms, pathological processes in the tissues adjacent to the larynx and trachea, development defects (congenital membrane or cyst of the larynx), infectious granulomas (tuberculosis, syphilis), and other
In acute laryngostenosis choking develops quickly (more children), chronic, slowly. However, when there is inflammation or bleeding in the field of stenosis chronic langostinos can quickly escalate and lead to asphyxia.
There are three stages of laryngostenosis: compensated and decompensated evictions. I stage is characterized by the enhanced activity of the respiratory muscles disappears pause between breaths, breathing becomes deeper and slow. Appears hoarseness, noisy breathing (noise stenosis). In the second stage, is the blueness of the skin and mucous membranes, passing with increase of stenosis in pale. Patients are restless, covered in a cold sweat. In effect accessory respiratory muscles, which leads to the retraction of intercostal spaces, over - and subclavian pits. Noise stenosis heard at a considerable distance. In stage III develops persistent respiratory arrest (see Asphyxia).
In all cases of possible development of asphyxia during any pathological state the larynx shows urgent hospitalization of the patient and the adoption of measures to prevent asphyxia.
Treatment of acute laryngostenosis begins with treatment of the underlying disease. Inflammation is recommended distracting funds (mustard on the neck, hot foot bath), alkaline inhalation.
To reduce swelling - dehydration therapy (intravenous administration of hypertonic solutions of glucose, calcium). Allergic swelling removed intravenous corticosteroids and antihistamines type of Dimedrol and pipolfen. To reduce hypoxia (oxygen starvation of tissues) recommended inhaling oxygen. For excitation of the respiratory centre inject lobelina (0.3 - 0.5 ml of 1% solution intravenously). For low effectiveness of these measures shall pass to intubation (see) or tracheotomy (see).
In chronic laryngostenosis treatment is directed, in addition to underlying disease, destruction of formations, narrowing the lumen of the larynx.