To the Editor.
—Dr Frantz and colleagues state that epiglottitis in children is generally confined to the epiglottis.1 This is not so, according to our experience and that of others.2-5 Swollen aryepiglottic folds constitute the principal airway obstruction in children who have this diagnosis, often with little actual enlargement of the epiglottis. The hypopharyngeal tissue surrounding the glottis also tends to inflame in children, much as Frantz et al depict in adults. Just as for adults, the more descriptive term for children should be supraglottitis.
Jones R, Nixon GW, Gray SD. Acute Epiglottitis in Adults. JAMA. 1995;273(12):920. doi:10.1001/jama.1995.03520360034032