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B Gasri1, A Mokline1,2, L Gharsallah1,2

  • 1Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunisie.

Annals of Burns and Fire Disasters
|September 19, 2019
PubMed
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Tracheal stenosis is a rare but serious complication in burn patients, occurring in 3.5% of intubated individuals. Inhalation injury, facial burns, and prolonged intubation are key risk factors.

Area of Science:

  • Critical Care Medicine
  • Otolaryngology
  • Pulmonology

Context:

  • Tracheal stenosis is a known complication of prolonged mechanical ventilation.
  • Data on tracheal stenosis in burn patients is limited.
  • Burn patients often require prolonged intubation and tracheotomy, increasing risk.

Purpose:

  • To determine the incidence, characteristics, and risk factors of tracheal stenosis in burn patients.
  • To identify predictors of tracheal stenosis in this specific population.

Summary:

  • A retrospective study identified 15 cases of tracheal stenosis in burn patients over 7 years.
  • Incidence was 0.8% overall and 3.5% in intubated patients.
  • Risk factors included inhalation injury, facial burns, and prolonged intubation (mean 16 days).

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  • Symptoms like dyspnea and stridor appeared ~30 days post-extubation.
  • Treatments varied, with tracheal resection-anastomosis in 5 patients.
  • Outcomes included favorable evolution in 8, restenosis in 2, and 5 deaths.

    • Impact:

    • Highlights the importance of monitoring for tracheal stenosis in burn survivors.
    • Informs clinical practice regarding risk assessment and prevention strategies.
    • Contributes to understanding the long-term sequelae of severe burns and intensive care management.