Post-intubation double tracheal stenosis

Area of Science:

• Pulmonology
• Medical Case Reports
• Surgical Innovation

Background:

• Post-intubation tracheal stenosis is a known complication of mechanical ventilation.
• Double-level tracheal narrowing is an exceptionally rare presentation.
• Progressive respiratory impairment necessitates investigation of airway obstruction.

Purpose of the Study:

• To report a rare case of double-level tracheal stenosis.
• To illustrate diagnostic findings using advanced imaging.
• To demonstrate successful endoscopic management of complex tracheal stenosis.

Main Methods:

• A 43-year-old male with a history of prolonged mechanical ventilation presented with respiratory distress.
• Computed tomography with 3D reconstruction was utilized for detailed airway assessment.
• An endoscopic procedure was performed for treatment.

Main Results:

• Diagnostic imaging revealed complex tracheal anatomy with stenosis at two distinct levels.
• The patient's progressive respiratory impairment was attributed to the double-level tracheal stenosis.
• The endoscopic intervention was technically successful.

Conclusions:

• Complex tracheal stenosis, even at double levels, can be effectively diagnosed and managed.
• Endoscopic procedures offer a viable treatment option for challenging tracheal stenosis.
• This case expands the understanding of post-intubation airway complications.