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A rare tracheal lesion
Author(s) -
BIRCH CRAIG WALTER,
SALKELD LESLEY JOAN
Publication year - 2005
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2005.01382.x
Subject(s) - medicine , stridor , respiratory distress , lesion , surgery , differential diagnosis , ablation , endoscopy , airway obstruction , laryngoscopy , radiology , airway , pathology , intubation
Summary We report a potentially life‐threatening tracheal lesion that caused postextubation stridor in a child following dental surgery. The child developed a cough, dysphonia, stridor, and respiratory distress hours after his operation. Standard therapy for postextubation stridor was ineffective. A lateral neck X‐ray suggestive of subglottic pathology prompted an endoscopy. This revealed a fibrinous membrane that was attached to the anterior trachea and required mechanical ablation. The child made an uneventful recovery. This lesion has not been reported in children before and we believe that it is important in the differential diagnosis of postextubation stridor as it requires specific therapy.