Laryngo-tracheal stenosis following endotracheal intubation

<p><strong>Background:</strong> Despite significant improvements in the biocompatibility of materials used for tracheal tubes, laryngeal and tracheal lesions as long-term complications of artificial airways continue to be problematic in patients requiring prolonged airway support.&...

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Main Authors: Janez Benedik, Primož Gradišek, Maja Šereg-Bahar, Simona Slabe-Vrečič, Avgust Župevc
Format: Article
Language:English
Published: Slovenian Medical Association 2007-02-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/1649
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author Janez Benedik
Primož Gradišek
Maja Šereg-Bahar
Simona Slabe-Vrečič
Avgust Župevc
author_facet Janez Benedik
Primož Gradišek
Maja Šereg-Bahar
Simona Slabe-Vrečič
Avgust Župevc
author_sort Janez Benedik
collection DOAJ
description <p><strong>Background:</strong> Despite significant improvements in the biocompatibility of materials used for tracheal tubes, laryngeal and tracheal lesions as long-term complications of artificial airways continue to be problematic in patients requiring prolonged airway support.</p><p><strong>Methods:</strong> We present a case of postintubation tracheal stenosis in a 63-year-old woman with a history of dyspnoea on exertion after a relatively short period of intubation. Endoscopic examination performed a few weeks later revealed a tracheal stenosis. Consequently, she underwent a tracheal resection and reconstruction with good overall result.</p><p><strong>Conclusions:</strong> We highlight the fact that some patients with airway narrowing could be misdiagnosed as having bronchial asthma. The incidence of airway stenosis is relatively low, but a history of artificial airway should always be obtained. Endotracheal tube size and cuff pressure vare considered as two major risk factors for laryngo-tracheal stenosis.</p>
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spelling doaj.art-40e9032b5d8c481e812b28fece40583e2022-12-21T20:36:03ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242007-02-017621184Laryngo-tracheal stenosis following endotracheal intubationJanez BenedikPrimož GradišekMaja Šereg-BaharSimona Slabe-VrečičAvgust Župevc<p><strong>Background:</strong> Despite significant improvements in the biocompatibility of materials used for tracheal tubes, laryngeal and tracheal lesions as long-term complications of artificial airways continue to be problematic in patients requiring prolonged airway support.</p><p><strong>Methods:</strong> We present a case of postintubation tracheal stenosis in a 63-year-old woman with a history of dyspnoea on exertion after a relatively short period of intubation. Endoscopic examination performed a few weeks later revealed a tracheal stenosis. Consequently, she underwent a tracheal resection and reconstruction with good overall result.</p><p><strong>Conclusions:</strong> We highlight the fact that some patients with airway narrowing could be misdiagnosed as having bronchial asthma. The incidence of airway stenosis is relatively low, but a history of artificial airway should always be obtained. Endotracheal tube size and cuff pressure vare considered as two major risk factors for laryngo-tracheal stenosis.</p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1649long-term complications of artificial airwayslaryngo-tracheal stenosisbronchial asthmaintubationtracheostomy
spellingShingle Janez Benedik
Primož Gradišek
Maja Šereg-Bahar
Simona Slabe-Vrečič
Avgust Župevc
Laryngo-tracheal stenosis following endotracheal intubation
Zdravniški Vestnik
long-term complications of artificial airways
laryngo-tracheal stenosis
bronchial asthma
intubation
tracheostomy
title Laryngo-tracheal stenosis following endotracheal intubation
title_full Laryngo-tracheal stenosis following endotracheal intubation
title_fullStr Laryngo-tracheal stenosis following endotracheal intubation
title_full_unstemmed Laryngo-tracheal stenosis following endotracheal intubation
title_short Laryngo-tracheal stenosis following endotracheal intubation
title_sort laryngo tracheal stenosis following endotracheal intubation
topic long-term complications of artificial airways
laryngo-tracheal stenosis
bronchial asthma
intubation
tracheostomy
url http://vestnik.szd.si/index.php/ZdravVest/article/view/1649
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AT majaseregbahar laryngotrachealstenosisfollowingendotrachealintubation
AT simonaslabevrecic laryngotrachealstenosisfollowingendotrachealintubation
AT avgustzupevc laryngotrachealstenosisfollowingendotrachealintubation