Severe tracheal stenosis after short-term endotracheal intub
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Prolonged endotracheal intubation is a risk factor for the development of tracheal stenosis. The incidence of stenosis is very low if intubation lasts less than a week and patients may be asymptomatic for a long time.We present a case of an 86-year-old female who developed severe tracheal stenosis after short-term endotracheal intubation, with her first hospital admission for stridor only two weeks after the intubation. One month after the intubation computed tomography (CT) scan revealed an 18-mm long tracheal stenosis at the level of the thyroid gland, 1 cm below the glottis, with 3 mm of free tracheal lumen at the narrowest part. During CT scan, the patient rapidly became dyspnoeic, cyanotic, and agitated. An urgent tracheostomy was performed under local anaesthesia with the patient in a semi-sitting position. When ventilation through this tube was possible, the patient was anesthetized, repositioned in the supine position and a permanent tracheostomy was performed...

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