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A B a recent study by Patel et al. [10] demonstrated that the CLT or a combination of the CLT with laryngeal parameters failed to accurately predict PES. Moreover, the probability that the CLT can increase the risk of oropharyngeal and subglottic secretions into the airway during cuff deflation and mechanical ventilation does exist and cannot be denied. Extubation of intensive care unit (ICU) patients is potentially a high risk procedure. There is no single test that can reliably predict post-extubation stridor. We believe that a combination of tests should be performed (as suggested by Patel et al. [10]) in addition to a fibreoptic laryngoscopy prior to extubation so as to exclude any new onset of anatomical defects similar to our case. This, in turn, can somewhat reduce the incidence of post extubation upper airway obstruction.

Silicone stents save lives without surgery in postintubation subglottic stenosis