Friday, 8 April 2016

Anatomic site of origin of stridor | Crack PGIMER 22 MAY 2016


Anatomic site of origin of stridor is 

A. Larynx 
B. Bronchus 
C. Bronchiole 
D. Trachea
E. Pharynx


The Answeris. (A) Larynx ; (B) Bronchus ; (D) Trachea:
• Stridor may be
Inspiratory: Often produced in obstructive lesions of supraglottis or pharynx. e.g. Laryngomalacia, or retropharyngeal abscess.
Expiratory: is produced in lesions of thoracic trachea, Primary and secondary bronchus e.g. bronchial foreign body; tracheal stenosis.
Biphasic stridor: is seen in lesions of glottis, subglottis, and cervical trachea e.g. Laryngeal Papilloma, Vocal Cord paralysis and suhglottic stenosis.
• So, stridor may arise from lesion of nose, tongue, mandible, pharynx, larynx or trachea, and primary and secondary bronchi.
• Other causes of stridor are (i) Vascular rings, oesophageal atresia, tracheo-oesophageal fistula, congenital goitre, cystic hygroma.
(ii) Retropharyngeal and retrooesophageal abscess.
(iii) Foreign body in oesophagus.

(iv) Neck mass