Open AccessComplete subglottic tracheal stenosis managed with rigid bronchoscopy and T-tube placement
Author(s) -
Kuruswamy Thurai Prasad,
Sahajal Dhooria,
Inderpaul Singh Sehgal,
Ashutosh N. Aggarwal,
Ritesh Agarwal
Publication year - 2016
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/0970-2113.192879
Subject(s) - medicine , subglottic stenosis , bronchoscopy , tracheal stenosis , rigid bronchoscopy , intubation , stenosis , surgery , flexible bronchoscopy , tube (container) , tracheal tube , radiology , laryngotracheal stenosis , stent , mechanical engineering , engineering
Surgery is the preferred treatment modality for benign tracheal stenosis. Interventional bronchoscopy is used as a bridge to surgery or in instances when surgery is not feasible or has failed. Stenosis in the subglottic trachea is particularly a treatment challenge, in view of its proximity to the vocal cords. Herein, we describe a patient with complete tracheal stenosis in the subglottic region, which developed after prolonged intubation and mechanical ventilation. The patient developed recurrent stenosis despite multiple surgical and endoscopic procedures. We were able to manage the patient successfully with rigid bronchoscopy and Montgomery T-tube placement.