Idiopathic subglottic stenosis (ISS) is a condition characterized by narrowing of the subglottic region of the airway, which is located just below the vocal cords.

 

Here are some key points about ISS:

 

• Causes

- Idiopathic Nature: The exact cause is unknown, but it may involve factors like inflammation, scarring, or genetic predispositions.

- Associated Conditions: Some cases may be linked to conditions such as gastroesophageal reflux disease (GERD) or chronic inflammation.

 

• Symptoms

- Breathing Difficulties: Patients often experience stridor (a wheezing sound during breathing), especially when exerting themselves.

- Voice Changes: Hoarseness or changes in voice can occur.

- Cough: A persistent cough may be present.

 

• Diagnosis

- Laryngoscopy: This is often the first step, where a doctor examines the airway using a flexible tube with a camera.

- Imaging: CT scans may be used to assess the extent of the stenosis.

 

• Treatment

- Conservative Management: Observation may be appropriate for mild cases.

- Surgical Options: In more severe cases, procedures like dilation, laser surgery, or tracheostomy may be necessary to alleviate obstruction.

- Steroid Therapy: Inflammation management using corticosteroids may also be part of the treatment plan.

 

• Prognosis

- The outlook can vary. Some patients may have persistent symptoms, while others respond well to treatment. Regular follow-up is essential to monitor the condition.

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There is no cure for this condition, most patients have to do surgeries, resections or steroid injections to prolong life.

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I look forward to sharing my story for catharsis and awareness.