U-M Medical School
U-M School of Nursing
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CONSULT REQUEST GUIDELINES
Subglottic Stenosis/Tracheal Stenosis
Suggested Pre-Referral Evaluation and Management Guidelines
If significant dyspnea, refer to nearest ER.
Local ENT to evaluate for safety of patient for outpatient evaluation, and diagnosis confirmation.
If stenosis below level of the clavicle refer to thoracic surgery.
Suggested Additional Test/Management Prior to Specialty Visit
Dedicated laryngeal and tracheal airway CT if available, or CT of the neck and chest with IV contrast.
Patient Education/Information (includes preps)
If patient has tracheostomy, evaluation within 6 weeks.
If no tracheostomy, and stable for outpatient evaluation, appointment within 2-4 weeks.
Request Phone consult via M Line prior to office visit to alert physicians of patient's status.
How to Get Results to Consultant
UMHS Patients: See MiChart.
External Patients: Hand carry reports/records/films to visit.
Clinic Contact Information
Clinic Location Sites
Taubman Health Center
Vocal Health Center
UM Consulting Physician
Robbi A. Kupfer, M.D.
Mark E.P. Prince, M.D.
Carol R. Bradford M.D.
Norman D. Hogikyan, M.D.
Ear, Nose and Throat (Otolaryngology) Faculty
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