Metallic Stents for Proximal Tracheal Stenosis: Is It Worth the Risk?
Objective. To demonstrate the risk associated with blocked proximal tracheal stents when a patient presents with acute respiratory distress, with blockage of stent and what is the best management we can offer without damage to the stent and its associated complications. Case Report. A 22-yr-old, mal...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2012/450304 |
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| _version_ | 1832556061108731904 |
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| author | Sandeep Bansal Shruti Dhingra Babita Ghai Ashok K. Gupta |
| author_facet | Sandeep Bansal Shruti Dhingra Babita Ghai Ashok K. Gupta |
| author_sort | Sandeep Bansal |
| collection | DOAJ |
| description | Objective. To demonstrate the risk associated with blocked proximal tracheal stents when a patient presents with acute respiratory distress, with blockage of stent and what is the best management we can offer without damage to the stent and its associated complications. Case Report. A 22-yr-old, male patient, presented in severe respiratory distress. He had history of corrosive poisoning for which he was tracheotomised. A stainless steel wire mesh stent was placed in the trachea, from the subglottis, to just above the carina. One month later, he presented with a critically compromised airway with severe respiratory distress. Emergency tracheostomy was done and the metallic stent had to be cut open, in order to provide an airway. Conclusion. Management of blocked proximal stents with patient in respiratory distress remains a challenge. Formation of granulation tissue is common and fibreoptic bronchoscopic assisted intubation may not always be possible. A regular follow up of all patients with stents is essential. Placement of stents within a few centimetres of cricotracheal junction should not be encouraged for long term indications. |
| format | Article |
| id | doaj-art-43cc3a3350eb42a8b1e382bdcb476b5c |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-43cc3a3350eb42a8b1e382bdcb476b5c2025-02-03T05:46:29ZengWileyCase Reports in Otolaryngology2090-67652090-67732012-01-01201210.1155/2012/450304450304Metallic Stents for Proximal Tracheal Stenosis: Is It Worth the Risk?Sandeep Bansal0Shruti Dhingra1Babita Ghai2Ashok K. Gupta3Department of Otolaryngology, PGIMER, Chandigarh-160012, IndiaDepartment of Otolaryngology, PGIMER, Chandigarh-160012, IndiaDepartment of Anaesthesia, PGIMER, Chandigarh-160012, IndiaDepartment of Otolaryngology, PGIMER, Chandigarh-160012, IndiaObjective. To demonstrate the risk associated with blocked proximal tracheal stents when a patient presents with acute respiratory distress, with blockage of stent and what is the best management we can offer without damage to the stent and its associated complications. Case Report. A 22-yr-old, male patient, presented in severe respiratory distress. He had history of corrosive poisoning for which he was tracheotomised. A stainless steel wire mesh stent was placed in the trachea, from the subglottis, to just above the carina. One month later, he presented with a critically compromised airway with severe respiratory distress. Emergency tracheostomy was done and the metallic stent had to be cut open, in order to provide an airway. Conclusion. Management of blocked proximal stents with patient in respiratory distress remains a challenge. Formation of granulation tissue is common and fibreoptic bronchoscopic assisted intubation may not always be possible. A regular follow up of all patients with stents is essential. Placement of stents within a few centimetres of cricotracheal junction should not be encouraged for long term indications.http://dx.doi.org/10.1155/2012/450304 |
| spellingShingle | Sandeep Bansal Shruti Dhingra Babita Ghai Ashok K. Gupta Metallic Stents for Proximal Tracheal Stenosis: Is It Worth the Risk? Case Reports in Otolaryngology |
| title | Metallic Stents for Proximal Tracheal Stenosis: Is It Worth the Risk? |
| title_full | Metallic Stents for Proximal Tracheal Stenosis: Is It Worth the Risk? |
| title_fullStr | Metallic Stents for Proximal Tracheal Stenosis: Is It Worth the Risk? |
| title_full_unstemmed | Metallic Stents for Proximal Tracheal Stenosis: Is It Worth the Risk? |
| title_short | Metallic Stents for Proximal Tracheal Stenosis: Is It Worth the Risk? |
| title_sort | metallic stents for proximal tracheal stenosis is it worth the risk |
| url | http://dx.doi.org/10.1155/2012/450304 |
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