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ENT · Airway: subglottic stenosis
Sample itemA premature infant who was ventilated for four weeks develops biphasic stridor after extubation. What is the commonest cause of acquired subglottic stenosis in children?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Prolonged endotracheal intubation
Prolonged intubation with an oversized tube causes pressure necrosis, scarring and stenosis at the cricoid. Cotton-Myer grading guides management. Mild disease may be dilated, and severe cases need laryngotracheal reconstruction.
Option by option
A. Radiotherapy
Radiotherapy is not a common paediatric cause.
B. Prolonged endotracheal intubation (correct)
Correct. Prolonged intubation is the commonest cause.
C. Tuberculosis
TB is a rare cause.
D. Wegener's granulomatosis
GPA is rare in infants.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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