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Abstract
Stridor is commonly seen post decannulation in a tracheostomised patient. Usually it occurs due to airway obstruction secondary to tracheal stenosis, granulation tissue, tracheomalacia. We report a rare case of stridor due to dynamic pharyngeal collapse after decannulation. A 68- year - old male who presented with inferior wall MI and Complete Heart Block had to be put on a mechanical ventilator for hemodynamic instability and subsequently tracheostomised. Post decannulation he developed stridor and breathlessness. CT scan of neck revealed a supraglottic narrowing which on bronchoscopy showed a dynamic collapsibility of supraglottic area. This dynamic collapse was treated with non invasive positive pressure ventilation.
Highlights
Stridor is commonly seen post decannulation in a tracheostomised patient
It occurs due to airway supported on the mechanical ventilator for a prolonged obstruction secondary to tracheal stenosis, granulation tissue, time with an endotracheal tube he had to be tracheomalacia
We report a rare case of stridor due to dynamic pharyngeal collapse after decannulation
Summary
Abstract- Stridor is commonly seen post decannulation in a tracheostomised patient. Usually it occurs due to airway obstruction secondary to tracheal stenosis, granulation tissue, tracheomalacia. A 68- year - old male who presented with inferior wall MI and Complete Heart Block had to be put on a mechanical ventilator for hemodynamic instability and subsequently tracheostomised. Post decannulation he developed stridor and breathlessness. CT scan of neck revealed a supraglottic narrowing which on OPD were uneventful clinically, but the patient was bronchoscopy showed a dynamic collapsibility of supraglottic persistently complaining of progressive breathlessness area. This dynamic collapse was treated with non invasive positive pressure ventilation. As he was hemodynamic ally unstable he had to be intubated after being taken up for Global Journal of Medical Research ( D ) Volume XX Issue I Version I
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