Tracheal Stenosis After Endotracheal Intubation and Percutaneous Dilatational Tracheostomy
Journal Title: Bengal Journal of Otolaryngology and Head Neck Surgery - Year 2018, Vol 26, Issue 3
Abstract
IntroductionTracheal stenosis is an abnormal narrowing of the tracheal lumen which affects adequate airflow and caused by an inflammatory complication such as endotracheal intubation and percutaneous dilatational tracheostomy (PDT). Incidence of tracheal stenosis following endotracheal intubation and PDT was 8-44%.Case ReportA 24 year old female presented with dyspnea and hoarseness after traffic accident. She was intubated for 2 weeks then followed by PDT for 3 weeks. The laryngoscopy examination after PDT extubation showed tracheal stenosis at the second-third tracheal ring with left vocal fold granuloma. Cervical computed tomography demonstrated a mass at vocal cord and narrowing of tracheal caliber at the first thoracic vertebra disk, above the stoma of PDT.The granuloma was excised and tracheal stenosis was removed by tracheal resectionand end-to-end anastomosis. DiscussionTracheal stenosis is one of important sequelae after endotracheal intubationand PDT. Tracheal resection and primary anastomosis may be considered as an option for surgical management of tracheal stenosis.
Authors and Affiliations
Camelia Herdini, Agus Surono, Supomo Supomo, Jessica Fedriana
Keywords
Related Articles
- EP ID EP434008
- DOI -
- Views 56
- Downloads 0
Reliability of Free Radial Forearm Flap for Tongue Reconstruction Following Oncosurgical Resection
IntroductionPrimary closure following oncosurgical resection of carcinoma tongue has been found to compromise tongue function in regards to speech and swallowing very badly. In contrast, reconstruction of tongue with fre...
A Novel Technique of Using Sponge as Post-Operative Nasal Packing
IntroductionIn an effort to find a comparable but less expensive nasal pack with the qualities of MerocelR,this study was aimed at comparing the clinical efficacy and patient comfort level, while simultaneously using Mer...
Role of Ultrasonography in Otolaryngology
Ultrasonography (US) is frequently requested by the otolaryngologists in their day to day practice. Though US assessment is sensitive and in many situations, specific investigation for prognosis and management of patient...
Open Safety pin in upper digestive tract - Report of two rare cases
Sharp foreign bodies in the oesophagus especially open safety pins pose a real challenge to otolaryngologists because of its potential of perforation. There are different techniques described for removal of open safety p...
Frontoethmoid Mucocele causing Unilateral Proptosis
Introduction Mucoceles occur most frequently in the frontal and ethmoidal sinuses, without gender prevalence. Presenting symptoms can include facial pain, headache, nasal obstruction, diplopia, decreased visual acuity, o...