Abstract
Introduction: Tracheal stenosis is one of the dreaded complication of tracheal intubation. Tracheal resection and anastomosis is an established definitive treatment for stenosis more than one cm. Here, we present a case of postintubation tracheal stenosis managed by resection and anastomosis, first of its kind in our centre.
 Case Report: We present a case of 26-year female who underwent tracheal intubation during her treatment of tubercular meningitis. Two weeks later, she returned with respiratory difficulty. A diagnosis of post-intubation tracheal stenosis was made. Tracheal resection and anastomosis was done. Recovery was uneventful and she was discharged on 14th post-operative day.
 Conclusion: Post-intubation tracheal stenosis is still a dreaded complication even after the introduction of high volume low pressure cuff. They can be successfully managed. Care personnel in intensive care unit (ICU) should perform to prevent this complication.
Highlights
Tracheal stenosis is one of the dreaded complication of tracheal intubation
Tracheal resection and anastomosis has been established as the definitive treatment of benign tracheal stenosis more than one cm in length.[2]
The current study aims to present a case of benign tracheal stenosis managed by resection and anastomosis, first of its kind at our institution
Summary
Tracheal stenosis is defined as the narrowing of trachea. It has several grades. The current study aims to present a case of benign tracheal stenosis managed by resection and anastomosis, first of its kind at our institution. Acharya A. et al Tracheal resection and anastomosis for post-intubation tracheal stenosis showed cervical tracheal stenosis (Fig 1). CT scan showed a stenotic segment of 2.5 cm The patient and her relatives were explained about the current problem and the options available. They later agreed for a reconstructive surgery and a tracheal resection and anastomosis was planned. During surgery the stenotic portion of the trachea was resected and end to end anastomosis with 3/0 prolene with knots outside was performed between 1st and 5th tracheal rings (Fig 3,4).
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
