Abstract
A 34 year old woman with critical fibrotic sub-glottic stenosis secondary to Wegener's granulomatosis presented with worsening dyspnoea and stridor. She was posted for an urgent tracheostomy under general anaesthesia as she refused to consent for tracheostomy under local anaesthesia despite medical advice. Airway was successfully managed with a 4.0 mm preformed tracheal tube and tracheostomy was performed uneventfully.
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