Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Dec 4:35:101561.
doi: 10.1016/j.rmcr.2021.101561. eCollection 2022.

Case series of endoscopic treatment of post-intubation tracheal stenosis

Salim Salloum  1   2 , Michel Tawk  1   2 , Ralph Nehme  3 , Dima Siblani  4 , Youssef Haddad  5   6
Affiliations
Case Reports

Case series of endoscopic treatment of post-intubation tracheal stenosis

Salim Salloum et al. Respir Med Case Rep. .

Abstract

Introduction: Benign tracheal stenosis is a common problem encountered after tracheal intubation or tracheostomy. It can be managed by surgical or nonsurgical techniques. This case series describes the outcome of 11 cases of endobronchial treatment for complex tracheal stenoses.

Methods: A retrospective study was carried out in two hospitals in Lebanon. Patients were contacted on a regular basis for 6 months and asked about the presence of dyspnea and its characteristics.

Results: The most common presenting symptom was inspiratory stridor. Five patients (45.45%) were not satisfied after the bronchoscopic intervention. Six patients (54.55%) were satisfied with the outcome. All were initially treated with argon plasma coagulation and dilation. If any persistent symptoms were present, stenting was done. Three patients had a stent placement. Failure of stenting occurred with two patients. None of the satisfied patients had any early symptoms.

Conclusion: Bronchoscopic interventions yielded acceptable results when treating complex stenoses. More data is still needed to guide physicians for better approaches. When confronting complex tracheal stenosis, a multidisciplinary approach between surgical and nonsurgical doctors is preferred to choose the best medical care.

Keywords: Benign stenosis; Complex stenosis; Post intubation stenosis; Tracheal stenosis.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
A figure showing the outcome of the case series.
Fig. 2
Fig. 2
A: 1- 1.5 cm length with 90 % stenosis 2 cm above the Carina. B: endoscopic image of the stenosis. C: successful attempt with argon plasma and dilatation.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Mehta A.C., Lee F.Y., Cordasco E.M., Kirby T., Eliachar I., De Boer G. Concentric tracheal and subglottic stenosis. Management using the Nd-YAG laser for mucosal sparing followed by gentle dilatation. Chest. 1993 Sep;104(3):673–677. - PubMed
    1. Mehta A.C., Harris R.J., De Boer G.E. Endoscopic management of benign airway stenosis. Clin. Chest Med. 1995 Sep;16(3):401–413. - PubMed
    1. Cavaliere S., Bezzi M., Toninelli C., Foccoli P. Management of post-intubation tracheal stenoses using the endoscopic approach. Monaldi Arch Chest Dis Arch Monaldi Mal Torace. 2007 Jun;67(2):73–80. - PubMed
    1. Brichet A., Verkindre C., Dupont J., Carlier M.L., Darras J., Wurtz A., et al. Multidisciplinary approach to management of postintubation tracheal stenoses. Eur. Respir. J. 1999 Apr;13(4):888–893. - PubMed
    1. Grillo H.C., Donahue D.M. Post intubation tracheal stenosis. Semin. Thorac. Cardiovasc. Surg. 1996 Oct;8(4):370–380. - PubMed

Publication types

LinkOut - more resources