Abstract
BackgroundTracheal stenosis caused by tracheotomy and intubation is considered intractable. Although the segmental tracheal resection and endoscopic intervention are available, they usually result in great operation injury or are difficult to perform.Case presentationA patient with acquired tracheal stenosis was treated with tracheotomy-coblation. The patient was followed up by bronchoscopy every 2 months. After 6-month follow-up, the symptoms of dyspnea and hoarseness disappeared and no tracheal stenosis was observed.ConclusionsThe present technique, tracheotomy-coblation, is advantageous with less injury and easy to perform.
Highlights
Acquired tracheal stenosis is considered as challenging due to difficult field visualization and instrument limitation
Coablation has advantages including rapid and precise ablation, little thermal damage, et al more data is still needed to demonstrate the potential of coblation in managing airway stenosis [1]
We report a novel technique using tracheotomy-coblation for treating subglottic tracheal stenosis that was resulted from post-intubation
Summary
Acquired tracheal stenosis is considered as challenging due to difficult field visualization and instrument limitation. We report a novel technique using tracheotomy-coblation for treating subglottic tracheal stenosis that was resulted from post-intubation. The tracheotomy catheter was removed and dyspnea occurred. Laryngoscopy showed granuloma hyperplasia combined with tracheal stenosis, and endotracheal intubation was performed by means of tracheostomy. Five months prior to admission to our hospital, the patient was diagnosed as acquired tracheal. The patient was treated with tracheotomy-coblation; in trendelenburg’s position, the tracheal catheter was substituted by tracheal intubation under general anesthesia. The tracheal catheter was successfully removed 2 h postoperatively, and the collateral branch of T-tube kept blocked. The hoarseness got worse and mild dyspnea occurred 15 months postoperatively. After 6-month follow-up, the symptoms of dyspnea and hoarseness disappeared and no tracheal stenosis was observed
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