{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T04:41:26Z","timestamp":1764132086146,"version":"3.46.0"},"reference-count":7,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2025,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Granulomatosis with polyangiitis (\n GPA<\/jats:styled-content>\n ) is a rare disease of unknown aetiology with variable severity and a relapsing course. We report a case emphasizing the importance of the airway status and management of patients with a history of\n GPA<\/jats:styled-content>\n . The patient was a candidate for emergency endoscopic sinus surgery and general anaesthesia to control bleeding. After induction of anaesthesia, the patient was placed under general anaesthesia for endoscopic sinus examination, and mask ventilation was initiated. On laryngoscopy, porous granulomatous tissue and a web\u2010like membrane were observed in the subglottic area near the vocal cords, involving extensive portions of the glottis and subglottis. Consequently, endotracheal intubation was not attempted. Given the urgency of the surgery, an emergency tracheostomy was performed, followed by the planned procedure. Subglottic stenosis (\n SGS<\/jats:styled-content>\n ) is one of the most difficult\u2010to\u2010treat organ involvements in patients with\n GPA<\/jats:styled-content>\n . Screening for respiratory distress should be done even in asymptomatic patients at the time of diagnosis of\n GPA<\/jats:styled-content>\n . Early diagnosis and management of tracheobronchial involvement in\n GPA<\/jats:styled-content>\n significantly improve the prognosis of patients.\n <\/jats:p>","DOI":"10.1002\/rcr2.70395","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T03:25:19Z","timestamp":1762313119000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of Subglottic Stenosis With Tracheostomy in a Surgical Candidate Patient With Granulomatosis With Polyangiitis: A Case Report"],"prefix":"10.1002","volume":"13","author":[{"given":"Seyed Hamid","family":"Pakzad Moghadam","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, School of Medicine Rafsanjan University of Medical Sciences Rafsanjan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Hassan","family":"Abdollahi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Afshar Hospital, School of Medicine Shahid Sadoughi University of Medical Sciences Yazd Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Nursing Nantong Health College of Jiangsu Province Nantong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soheila","family":"Pourmasumi","sequence":"additional","affiliation":[{"name":"Clinical Research Development Unit, Ali\u2010Ibn Abi\u2010Talib Hospital Rafsanjan University of Medical Sciences Rafsanjan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Pu\u00e9chal","sequence":"additional","affiliation":[{"name":"National Referral Center for Rare Systemic Autoimmune Diseases Hospital Cochin Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Mojtaba","family":"Heydari","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, School of Medicine, Ali\u2010Ibn Abi\u2010Talib Educational and Treatment Hospital Rafsanjan University of Medical Sciences Rafsanjan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inshal","family":"Jawed","sequence":"additional","affiliation":[{"name":"Dow Medical College, Determinants of Medicine Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1500-391X","authenticated-orcid":false,"given":"Mohammad Ali","family":"Zakeri","sequence":"additional","affiliation":[{"name":"Social Determinants of Health Research Centre Rafsanjan University of Medical Sciences Rafsanjan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4160-6581-4.10034-2"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2020.12.008"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jccase.2021.02.005"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0961203308089693"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573398X14666181019120828"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21565"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.07.026"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70395","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T04:38:09Z","timestamp":1764131889000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70395"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":7,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/rcr2.70395"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70395","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"type":"print","value":"2051-3380"},{"type":"electronic","value":"2051-3380"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2025-09-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70395"}}