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March 1968

Congenital Subglottic Stenosis

Author Affiliations

From the Department of Otolaryngology, University of Minnesota Medical School, Minneapolis. Dr. McMillan is now at 1605 Monroe St, Madison, Wis.

Arch Otolaryngol. 1968;87(3):272-278. doi:10.1001/archotol.1968.00760060274010

CONGENITAL laryngeal atresia was first described by Rossi in 1826. Since that time, increasing attention has been directed towards laryngeal anomalies as a major cause of asphyxia neonatorum.

Reports in the German literature by Schneider, Hempel, and Kneizl of 26 cases of laryngeal atresia are referred to by Smith and Bain.1 Holinger et al2 reported 379 cases of congenital laryngeal anomalies, 305 of which were diagnosed as congenital laryngeal stridor or "laryngomalacia." Of the remaining 74 cases, the largest group (34) was congenital subglottic stenosis. Other reports3-6 support the fact that subglottic stenosis occurs more frequently than is realized.

Subglottic stenosis as defined in this paper is a developmental defect of the conus elasticus and/or cricoid cartilage. Since 1950, we have had four cases of this congenital anomaly at the University of Minnesota and affiliated hospitals.

Report of Cases  Case 1.—This white male infant was the firstborn

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