| Autor: |
Dias Fernandes, Juliana Alves, Franco Carregosa, Fernanda, Bonome Cardoso, Maria Fernanda, Antônio Pinto, José, Sobreira Nunes, Heloisa dos Santos, Braga Vilela Silva, Joyce Rios, Orlandini Alonso, Caio |
| Předmět: |
|
| Zdroj: |
International Archives of Otorhinolaryngology; 2022 Supplement, Vol. 26, p33-34, 2p |
| Abstrakt: |
Introduction: Subglottic stenosis can be defined as the narrowing of the upper airway, just below the vocal folds to the lower border of the cricoid cartilage;mostly common secondary to endotracheal intubation. Objectives: To evidence subglottic stenosis as a complication of prolonged orotracheal intubation(OTI) and demonstrate the resolution of the case through a surgical approach. Resumed report: Male, bolivian, 75 years old, previously healthy, suffered a stroke, cardiorespiratory arrest and convulsion, requiring OTI in July/2020. During hospitalization, Computed Tomography (CT) of the chest was requested and ground-glass opacity suggestive of infection by the new coronavirus was seen. He remained on OTI for thirteen days, followed by tracheostomy for another thirteen days. Hospital discharge occurred after 28 days, with gradual dyspnea and neck's CT scan showing significant subglottic narrowing. Flexible nasofibrolaryngoscopy was performed with subglottic stenosis resulting from projection of the anterior wall of the trachea and granulation tissue reducing the lumen by 80%.A new tracheostomy and resection of the suglottic stenosis was performed with a CO2 Ultra Pulse Duo Laser and dilatation with a Passeo-35 balloon. The patient had satisfactory postoperative evolution and wide opening of the tracheal subglottic region. He was decannulated twelve days after surgery and remained asymptomatic after one year. Conclusion: Prolonged OTI time and the inflammatory process due to trauma represent an important risk and cause of laryngotracheal lesions. In this case, the subglottic stenosis was successfully resected through microsurgery with the use of laser and dilation. Decreased intubation time, tracheostomy and airway care should be prioritized to avoid such complications. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
