Idiopathic Subglottal Stenosis

Posted by brookssh @brookssh, Sep 2, 2016

I have had a subglottal stenosis for over twenty years, been diagnosed for six years, with a partially paralyzed vocal cord causing shortness of breath and a very weak, raspy voice.. Every six months I go to MUSC, Charleston to get my trachea dilated and CO2 laser for scar tissue on the stenosis, along with injections of collagen and juvederm into the vocal cords. All in all, this treatment works very well, I can breath and talk. However, I am frustrated by the lack any long term success and would like to know if anyone knows of any cutting edge research, doctor, or hospital that seems to be making better progress.

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@deborahe it sounds as if your situation is different than mine. i certainly wish you well as you seek help with your tumor and vocal cord problem It does make for a more difficult life when you can't talk comfortably. Best wishes, Teresa

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@hopeful33250

Hello @brookssh and @deborahe My left vocal cord is completely paralyzed. I also had a very raspy voice and I would tire easily when I talked. I found myself talking less and less as the situation went on. I consulted doctors and they said that my option for relief was to have an implant put in the paralyzed cord. I went to Cleveland Clinic and had that procedure done and it helped immensely. Now the two vocal cords close better and I have less difficulty with swallowing, choking and talking. It was a good decision for me. Has anyone ever suggested surgery such as this for your situation? Teresa

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<br><br><br><br><br><br><br><br>So wonderful to hear from you, thanks for getting in touch.  No one has mentioned this to me, but I have a very similar situation to you.  My left vocal cord does not always work, and certainly not properly, so I too have a very<br> raspy voice and I do get very tired talking.  I have gotten collagen injected and it also helped immensely, but only for about six months.<br><br><br>I have thought about contacting a doctor at Cleveland.  Could you relay who did your surgery and anyone else you consulted there?<br><br><br>I also have a subglottic stenosis so I get balloon dilations and CO2 laser on scar tissue to keep my trachea open for clear breathing.<br><br><br>Best wishes to you and thanks for your help.  Susan<br><br><br><br><br>Sent from Windows Mail<br><br><br><br><br>

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@hopeful33250

Hello @brookssh and @deborahe My left vocal cord is completely paralyzed. I also had a very raspy voice and I would tire easily when I talked. I found myself talking less and less as the situation went on. I consulted doctors and they said that my option for relief was to have an implant put in the paralyzed cord. I went to Cleveland Clinic and had that procedure done and it helped immensely. Now the two vocal cords close better and I have less difficulty with swallowing, choking and talking. It was a good decision for me. Has anyone ever suggested surgery such as this for your situation? Teresa

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Hi @brookssh, Your situation sounds a bit different from mine in that I do not have the subglottic stenosis. That sounds difficult with the balloon dilations, etc. The doctor I saw at Cleveland Clinic is Dr. Paul Bryson. Here is the website with his info: http://my.clevelandclinic.org/staff/14474-paul-c-bryson. Cleveland Clinic was a 3 1/2 hour drive from home, but I felt it worth the drive. Best wishes to you. Keep in touch with Mayo Connect, we would like to know how you are doing. Teresa

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Hi @brookssh, my husband suffers from idiopathic subglottic stenosis. Long story short, in May 2016, Dr. Hillel at Johns Hopkins performed a new(er) procedure on him after the initial traditional treatments failed. It's a tracheal resection and he used a skin graft from my husband's thigh to replace the removed area. Hubby is a new man! He has gone back a couple of times since to have scar tissue lasered out (I call it getting roto-rootered), but other than that, his breathing is fantastic! He still struggles with the cough and phlegm, but nothing even CLOSE to how bad he used to be. If you have the opportunity, check out Dr. Hillel - he is phenomenal!

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Hello Amy! Welcome to Mayo Clinic Connect.

Thank you for posting, I'm glad that your husband has had a successful surgical outcome.

Will he continue to have to go in for scar tissue removal? How often has he had to do this?

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Hi, Anyone out there have this disease?

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@debbredin

Hi, Anyone out there have this disease?

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Hello @debbredin! Welcome to Mayo Clinic Connect! Thank you for posting to the group. You will find a wealth of information in talking with the community members and connecting with people who may be experiencing the very same situation as yourself. You will notice that I moved your topic to a discussion already taking place on Idiopathic Subglottic Stenosis.

I would like to introduce you to fellow members here discussing Idiopathic Subglottic Stenosis. Please meet @brookssh, @deborahe, @miller0614 and @hopeful33250. I hope they will all welcome you and answer any questions you may have regarding the topic.

@debbredin, were you recently diagnosed? Are there specific questions you have for the community?

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Hello @debbredin

Let me add my welcome to you. I'm glad that you have reached out to Mayo Connect. We have many supportive, encouraging members in our community who are glad to share their experiences with others.

Three years ago, I had surgery for a paralyzed vocal cord. I was never give the diagnosis of Subglottic Stenosis, however, the reason for the paralyzed vocal cord remains somewhat of a mystery (possibly related to a Parkinson's disorder). Nonetheless, the surgery I had was to implant a silastic implant into the paralyzed vocal cord and it helped my speech as well as swallowing problems. My surgery was done at Cleveland Clinic (about 3 hours from where I live), they have a good ENT program there and do many of these surgeries.

As Jamie said, I too would be interested in knowing more about your diagnosis as well as your symptoms. Have any recommendations been made regarding treatment?

Teresa

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Hi Jamie & Teresa, Thank you for reaching out. My reason for hooking up with Mayo is my sister-in-law in Arizona keeps asking me to come get checked out there so I was looking on-line to see if anyone there performed this surgery and that's when I found your site 🙂

I was diagnosed in 2011 with ISS and will have my 7th dilatation this coming Tuesday. The stenosis is very close to my vocal box and this time around I have basically lost my voice along with not being able to breathe.

Do you have others on this site with ISS? I have heard of Dr. Lorenz (sp?) in Cleveland from a site I follow on Facebook. I see Dr. Merati at the Univ of WA.

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@debbredin If you sister is in AZ you might consider the Mayo facility there. I'm not familiar with Dr. Lorenz at Cleveland. As I live in Michigan, Cleveland Clinic was relatively close to me. It sounds like you have dealing with this problem for a while. I hope you are able to get some treatment that will hold up and help your talking and breathing problems. Is speech therapy recommended for this disorder?

Teresa

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