Laryngotracheal stenosis following intubation and tracheostomy for COVID-19 pneumonia: a case report.

Autor: Vasanthan R; Department of Head and Neck Surgery, University College London Hospitals NHS Foundation Trust, London, UK., Sorooshian P; Department of Plastic Surgery, Queen Victoria Hospital NHS Trust, East Grinstead, UK., Sri Shanmuganathan V; Faculty of Dentistry, Oral and Craniofacial Sciences, King's Dental Institute, London, UK., Al-Hashim M; Department of Otolaryngology, East Sussex Healthcare NHS Trust, Eastbourne, UK.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2021 Jan 18; Vol. 2021 (1), pp. rjaa569. Date of Electronic Publication: 2021 Jan 18 (Print Publication: 2021).
DOI: 10.1093/jscr/rjaa569
Abstrakt: Laryngotracheal stenosis (LTS) is a rare but serious condition characterized by narrowing of the airway. Iatrogenic injury from endotracheal intubation or tracheostomy insertion is the most common cause of LTS. We present the first reported experience of managing a patient diagnosed with subglottic stenosis (a subtype of LTS) following previous intubation and tracheostomy for coronavirus disease 2019 (COVID-19). This patient required an urgent surgical tracheostomy and subsequent referral to a tertiary airway surgery unit for definitive treatment, which included microlaryngoscopy, laser excision and balloon dilatation. This case highlights that LTS should be included in the differential diagnosis for patients re-presenting with breathing difficulties after prolonged intubation or tracheostomy for COVID-19. Furthermore, it raises the concern of a rise in the incidence of this condition and an increased burden on the few units specializing in airway surgery.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021.)
Databáze: MEDLINE
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