Resection and end-to-end anastomosis for tracheal stenosis - Case report

Tracheal stenosis is usually the result of an improperly performed tracheostomy or an intubation injury. Injuries at the tracheostomy site, the cuff, or the tip of the tracheostomy tube might result in cicatricial healing, granulation tissue formation, and loss of cartilaginous structural support. Tracheal resection with anastomosis is a feasible means for managing Grade IV stenosis when medical management fails. We present a case of tracheal stenosis from the lower cricoid to the tracheal stoma which developed after long term intubation. The 21-year-old patient underwent tracheal resection with end-to-end anastomosis and laryngeal release. A 4 cm long stenotic segment was resected using a muscle mobilization method. The nasal endotracheal tube was removed 6 days after surgery and the wound healed well. The patient has been followed for more than 1 year in the outpatient clinic without recurrent stenosis.