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Management of post-traumatic tracheal stenosis with silicone stent placement
  1. Prakash Sivaramakrishnan,
  2. Mayank Mishra and
  3. Girish Sindhwani
  1. Department of Pulmonary Medicine, All India Institute of Medical Sciences, Rishikesh, India
  1. Correspondence to Dr Mayank Mishra; virgodrmayank{at}gmail.com

Abstract

Benign airway stenosis often poses a therapeutic challenge and requires a multidisciplinary approach involving interventional pulmonologists and thoracic surgeons. We report the case of a man who presented with thoracic trauma following a road traffic accident. His chest X-ray showed complete collapse of the right lung, while screening flexible bronchoscopy revealed pooled secretions and asymmetric mid-to-lower tracheal stenosis. After thorough clinicoradiological evaluation and multidisciplinary discussion, we proceeded with therapeutic rigid bronchoscopy and silicone stenting of the tracheal stenotic lesion. Post-procedure, the patient improved clinically and also showed radiological improvement. Subsequently, he underwent stent removal and remains in follow-up. While surgery is a definitive modality for management of benign tracheal stenosis, most patients with advanced disease, pneumonia or with poor general condition are unfit to tolerate general anaesthesia or surgery. In such patients, minimally invasive bronchoscopic techniques that are generally safe to perform have led to substantial improvement in symptoms and long-term quality of life.

  • Respiratory system
  • Adult intensive care

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Footnotes

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  • Contributors Acquisition of clinical details, images/videos, literature search and initial manuscript draft: PS. Patient management, manuscript editing, review and critical revision: GS, MM, PS. Guarantor: MM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.