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Table 59.1

Mechanical Causes of Upper Airway Obstruction

  • Oedema
  • Anaphylaxis (Chapter 38)
  • Angioedema – angiotensin-converting enzyme inhibitors, C1 inhibitor deficiency (Chapter 27)
  • Post-extubation laryngeal oedema – typically a few hours after extubation

Extrinsic compression

  • Thyroid masses – benign or malignant
  • Lymphadenopathy of any cause
  • Neck haematoma, for example arterial puncture complicating central venous access

Tumours of the airway

Infection

Vocal cord paralysis

Trauma

  • Acute laryngeal trauma
  • Facial fractures and associated haemorrhage
  • Thermal inhalation injury to mucosa
  • Tracheal stenosis following intubation or tracheostomy

Foreign bodies