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Epiglottitis
Michael R. Aquino, MD, MHSc; Lane F. Donnelly, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Synonyms

          • Supraglottitis
        • Definitions

          • Airway obstruction secondary to inflammation of epiglottis & surrounding tissues

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    • Gross Pathologic & Surgical Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Lichtor JL et al: Epiglottitis: it hasn't gone away. Anesthesiology. 124(6):1404-7, 2016
                                  2. Darras KE et al: Imaging acute airway obstruction in infants and children. Radiographics. 35(7):2064-79, 2015
                                  3. Ito K et al: Four cases of acute epiglottitis with a peritonsillar abscess. Auris Nasus Larynx. 38(2):284-8, 2011
                                  4. Briem B et al: [Acute epiglottitis in Iceland from 1983-2005.] Laeknabladid. 96(6):405-11, 2010
                                  5. Capps EF et al: Emergency imaging assessment of acute, nontraumatic conditions of the head and neck. Radiographics. 30(5):1335-52, 2010
                                  6. Shah RK et al: Epiglottitis in the United States: national trends, variances, prognosis, and management. Laryngoscope. 120(6):1256-62, 2010
                                  7. Glynn F et al: Diagnosis and management of supraglottitis (epiglottitis). Curr Infect Dis Rep. 10(3):200-4, 2008
                                  8. Guldfred LA et al: Acute epiglottitis: epidemiology, clinical presentation, management and outcome. J Laryngol Otol. 122(8):818-23, 2008
                                  9. Baines PB et al: Upper airway obstruction. Hosp Med. 65(2):108-11, 2004
                                  10. Gilbert A et al: Epiglottic abscess. Ear Nose Throat J. 83(3):154-5, 2004
                                  11. Hammer J: Acquired upper airway obstruction. Paediatr Respir Rev. 5(1):25-33, 2004
                                  12. Krost WS: Pediatric pulmonary emergencies. Emerg Med Serv. 33(1):71-7; quiz 105, 2004
                                  13. McVernon J et al: Trends in Haemophilus influenzae type b infections in adults in England and Wales: surveillance study. BMJ. 329(7467):655-8, 2004
                                  14. Shah RK et al: Epiglottitis in the Hemophilus influenzae type B vaccine era: changing trends. Laryngoscope. 114(3):557-60, 2004
                                  15. Berger G et al: The rising incidence of adult acute epiglottitis and epiglottic abscess. Am J Otolaryngol. 24(6):374-83, 2003
                                  16. Garner D et al: Effectiveness of vaccination for Haemophilus influenzae type b. Lancet. 361(9355):395-6, 2003
                                  17. McEwan J et al: Paediatric acute epiglottitis: not a disappearing entity. Int J Pediatr Otorhinolaryngol. 67(4):317-21, 2003
                                  18. McVernon J et al: Immunologic memory in Haemophilus influenzae type b conjugate vaccine failure. Arch Dis Child. 88(5):379-83, 2003
                                  19. Nakamura H et al: Acute epiglottitis: a review of 80 patients. J Laryngol Otol. 115(1):31-4, 2001
                                  20. Stroud RH et al: An update on inflammatory disorders of the pediatric airway: epiglottitis, croup, and tracheitis. Am J Otolaryngol. 22(4):268-75, 2001
                                  21. John SD et al: Stridor and upper airway obstruction in infants and children. Radiographics. 12(4):625-43; discussion 644, 1992
                                  22. Dunbar JS: Upper respiratory tract obstruction in infants and children. Am J Roentgenol Radium Ther Nucl Med. 109(2):227-46, 1970
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Synonyms

                                          • Supraglottitis
                                        • Definitions

                                          • Airway obstruction secondary to inflammation of epiglottis & surrounding tissues

                                        IMAGING

                                        • General Features

                                          • Radiographic Findings

                                            • CT Findings

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • General Features

                                                    • Gross Pathologic & Surgical Features

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              DIAGNOSTIC CHECKLIST

                                                              • Consider

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Lichtor JL et al: Epiglottitis: it hasn't gone away. Anesthesiology. 124(6):1404-7, 2016
                                                                  2. Darras KE et al: Imaging acute airway obstruction in infants and children. Radiographics. 35(7):2064-79, 2015
                                                                  3. Ito K et al: Four cases of acute epiglottitis with a peritonsillar abscess. Auris Nasus Larynx. 38(2):284-8, 2011
                                                                  4. Briem B et al: [Acute epiglottitis in Iceland from 1983-2005.] Laeknabladid. 96(6):405-11, 2010
                                                                  5. Capps EF et al: Emergency imaging assessment of acute, nontraumatic conditions of the head and neck. Radiographics. 30(5):1335-52, 2010
                                                                  6. Shah RK et al: Epiglottitis in the United States: national trends, variances, prognosis, and management. Laryngoscope. 120(6):1256-62, 2010
                                                                  7. Glynn F et al: Diagnosis and management of supraglottitis (epiglottitis). Curr Infect Dis Rep. 10(3):200-4, 2008
                                                                  8. Guldfred LA et al: Acute epiglottitis: epidemiology, clinical presentation, management and outcome. J Laryngol Otol. 122(8):818-23, 2008
                                                                  9. Baines PB et al: Upper airway obstruction. Hosp Med. 65(2):108-11, 2004
                                                                  10. Gilbert A et al: Epiglottic abscess. Ear Nose Throat J. 83(3):154-5, 2004
                                                                  11. Hammer J: Acquired upper airway obstruction. Paediatr Respir Rev. 5(1):25-33, 2004
                                                                  12. Krost WS: Pediatric pulmonary emergencies. Emerg Med Serv. 33(1):71-7; quiz 105, 2004
                                                                  13. McVernon J et al: Trends in Haemophilus influenzae type b infections in adults in England and Wales: surveillance study. BMJ. 329(7467):655-8, 2004
                                                                  14. Shah RK et al: Epiglottitis in the Hemophilus influenzae type B vaccine era: changing trends. Laryngoscope. 114(3):557-60, 2004
                                                                  15. Berger G et al: The rising incidence of adult acute epiglottitis and epiglottic abscess. Am J Otolaryngol. 24(6):374-83, 2003
                                                                  16. Garner D et al: Effectiveness of vaccination for Haemophilus influenzae type b. Lancet. 361(9355):395-6, 2003
                                                                  17. McEwan J et al: Paediatric acute epiglottitis: not a disappearing entity. Int J Pediatr Otorhinolaryngol. 67(4):317-21, 2003
                                                                  18. McVernon J et al: Immunologic memory in Haemophilus influenzae type b conjugate vaccine failure. Arch Dis Child. 88(5):379-83, 2003
                                                                  19. Nakamura H et al: Acute epiglottitis: a review of 80 patients. J Laryngol Otol. 115(1):31-4, 2001
                                                                  20. Stroud RH et al: An update on inflammatory disorders of the pediatric airway: epiglottitis, croup, and tracheitis. Am J Otolaryngol. 22(4):268-75, 2001
                                                                  21. John SD et al: Stridor and upper airway obstruction in infants and children. Radiographics. 12(4):625-43; discussion 644, 1992
                                                                  22. Dunbar JS: Upper respiratory tract obstruction in infants and children. Am J Roentgenol Radium Ther Nucl Med. 109(2):227-46, 1970