Prognosis

The prognosis is good if an RPA is identified early. However, the mortality is 40% to 50% if serious complications (e.g., meningitis) develop.[36] Complications are uncommon and are generally due to inferior or superior spread of infection. Recurrence occurs in 1% to 5% of patients.[15]

Tracheostomy is more commonly required in adults, and this can lead to a prolonged hospital stay with the required rehabilitation. Prolonged intubation is preferred over tracheostomy when severe airway compromise exists. The sequelae of this will depend on individual comorbidity but include the systemic ramifications of admission to an intensive care unit, including nosocomial infection.

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