{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T01:40:23Z","timestamp":1780105223096,"version":"3.54.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T00:00:00Z","timestamp":1606262400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:p>A 12-year-old male with a family history of inflammatory bowel disease presented with sleep-disordered breathing and was found to have chronic, granulomatous swelling of the supraglottic larynx. His airway was managed with tracheostomy, regular interval laryngeal steroid injections, supraglottoplasty, and \u201cpepper pot\u201d CO2 laser resurfacing leading to eventual decannulation. Due to the non-necrotic nature of the granulomatous inflammation, as well as the patient\u2019s family history of inflammatory bowel disease, the leading diagnosis was Crohn disease, but isolated laryngeal sarcoidosis could not be ruled out. There are only 13 reported cases of laryngeal manifestations of Crohn disease in the literature, with only 2 cases occurring in pediatric patients. This case report adds to this body of literature and discusses strategies for managing granulomatous supraglottic edema when definitive diagnosis is not fully clear.<\/jats:p>","DOI":"10.1177\/0145561320973772","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T08:41:46Z","timestamp":1606293706000},"page":"NP375-NP378","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Granulomatous Inflammation Causing Severe Supraglottic Edema and Airway Obstruction in a Pediatric Patient"],"prefix":"10.1177","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3242-1590","authenticated-orcid":false,"given":"Sophia M.","family":"Colevas","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley T.","family":"Gietman","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelly M.","family":"Cook","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony L.","family":"Kille","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,11,25]]},"reference":[{"key":"bibr1-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1002\/rcr2.226"},{"key":"bibr2-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198007000-00018"},{"key":"bibr3-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(02)00099-1"},{"key":"bibr4-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1007\/s00408-015-9826-3"},{"key":"bibr5-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800590402"},{"key":"bibr6-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2017.09.021"},{"key":"bibr7-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedex.2013.08.004"},{"key":"bibr8-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(02)00098-X"},{"key":"bibr9-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-198003000-00013"},{"key":"bibr10-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13753"},{"issue":"5","key":"bibr11-0145561320973772","first-page":"500","volume":"138","author":"Ramsdell WM","year":"1984","journal-title":"Am J Dis Child"},{"key":"bibr12-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.135.4.439"},{"key":"bibr13-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-199102000-00008"},{"key":"bibr14-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2005.02.004"},{"key":"bibr15-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1177\/000348947908800116"},{"key":"bibr16-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.16"},{"key":"bibr17-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.02.031"},{"key":"bibr18-0145561320973772","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2017.09.016"}],"container-title":["Ear, Nose &amp; 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