Post-intubation long-segment tracheal stenosis of the posterior wall: a case report and review of the literature

Abstract

Tracheal stenosis, a well-known complication of endotracheal intubation and artificial ventilation, is most likely to occur in critically ill patients requiring prolonged mechanical ventilation. Although a rare complication, and despite technological improvements and better patient care in intensive care units, tracheal stenosis still constitutes a serious clinical problem which can also develop after a short period of mechanical ventilation. In this article, we present a very rare case report of a patient who developed a long-segment tracheal stenosis localized at the posterior wall after a relatively short period of endotracheal intubation with a high-volume, low-pressure cuffed endotracheal tube, and a review of the literature.

Engineered cartilaginous tubes for tracheal tissue replacement via self-assembly and fusion of human mesenchymal stem cell constructs

“…Short-term solutions for patients with long segment stenosis include stents, T-tubes, laser surgery and airway dilation. However, a major drawback to these is the need for repetitive treatment: periodic stent and tube replacement due to granuloma formation or additional laser surgery and dilation due to scarring and restenosis [5, 6]. …”

Iatrogenic Tracheal Stenosis Presenting as Persistent Asthma

“…3 The overall incidence of post-intubation and post-tracheotomy stenosis ranges from 6% to 22%, but only 1-2% of the patients are symptomatic or have severe stenosis. 1,4 The etiology of post-intubation tracheal stenosis is multifactorial. One of the most important causes is cuff pressure that exceeds the mucosal capillary perfusion pressure (20 -30 mm Hg).…”

Hydroxychloroquine as Treatment for Inflammatory Subglottic Stenosis: A Second Successful Case

“…Subglottic stenosis affects the narrowest segment of the human airway, anterior and superior to the cricoid cartilage where the diameter is approximately 40 mm for men and 30 mm for women [2]. …”