Mpox-associated supraglottitis in an immunocompetent, reportedly sexually abstinent child.

Mpox is a double-stranded DNA virus of the Orthopoxvirus genus related to smallpox virus endemic to Africa with more than 16,000 cases reported in nonendemic countries in 2022. Classically associated with adult men who have sex with men (MSM), Mpox was once labeled a public health emergency by the World Health Organization as concerning to the general population. Supraglottitis is a rare complication of Mpox that is underreported in the literature and presents a potential airway emergency.

The kid who couldn't burp: the management of a pediatric case of retrograde cricopharyngeal dysfunction.

Retrograde cricopharyngeal dysfunction is a newly described syndrome characterized by the inability to belch, loud abdominal gurgling, excessive flatulence, and pain or distension of the low neck, chest, or abdomen. Treatment is with botulinum toxin injection into the cricopharyngeus muscle. We present a pediatric case of this syndrome to increase awareness among the medical community and for clinicians to expand their index of suspicion for retrograde cricopharyngeal dysfunction.

Effect of COVID-19 on the incidence of postintubation laryngeal lesions.

Background: Critically ill patients intubated in the intensive care unit experience prolonged intubation leading to increased frequency of laryngeal injuries. This study aimed to demonstrate a suspected increase in vocal fold injury in patients who were intubated with COVID-19 as compared with patients intubated for other reasons.

Methods: A retrospective review of medical records was performed to identify patients examined using flexible endoscopic evaluation of swallowing exams.

Cricoid abscess presenting as progressive dyspnea.

Laryngeal abscess, especially in the posterior larynx and cricoid region, is a rare entity with potential for high morbidity and mortality. The most common etiologies for such abscesses include trauma, prolonged intubation, and supraglottic infection. This case report describes a patient with cricoid abscess of unknown etiology but with a remote history of trauma and intubation.

The PHACES syndrome: Multiple episodes of reproliferation of subglottic hemangioma.

Subglottic hemangioma is a potentially life-threatening manifestation of the PHACES syndrome. The disease process has been treated with corticosteroids, oral chemotherapeutic agents, endoscopic airway interventions, tracheostomy, and even laryngotracheal reconstruction. Oral propranolol has emerged as an effective therapy and in many cases has led to complete regression of hemangioma during the proliferative phase.