A laser management in cases of laryngeal stenosis due to corrosive poisoning

Abstract

Background: Post corrosive poisoning result in serious chemical injuries and complications to the gastrointestinal tract and a high mortality rate. Post corrosive Complications that include respiratory injuries are especially significant for determining the severity of acute corrosive poisonings. Mortality is most often caused by tracheal necrosis, perforation of esophagus or stomach, followed by Mediastinitis or peritonitis. Results: Herewith presenting nine cases of laryngotracheal stenosis following corrosive poisoning ingestion. The purpose of this study is to upper aerodigestive tract complications and its Management. Stricture can be managed by endoscopic dilatation, oesophageal Stents, surgery. In our experience we planned for laser release of cricopharyngeal stricture with oesophageal dilatation. Diode laser isused for release of cricopharyngeal. Conclusions: Good postoperative outcome can be achieved and patient can be without tracheostomy for life long living near normal life. Pre and post operative psychological analysis and counselling is also very important for better functional outcome.Giving general anaesthesia is challenging in these cases hence experienced Team of anaesthetist is required to prevent mortality.