Management of post-traumatic tracheal stenosis with silicone stent placement

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 collap...

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Bibliographic Details
Published inBMJ case reports Vol. 16; no. 12; p. e255189
Main Authors Sivaramakrishnan, Prakash, Mishra, Mayank, Sindhwani, Girish
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd 20.12.2023
BMJ Publishing Group LTD
Subjects
Adult intensive care
Airway management
Bronchoscopy
Case reports
Case Reports: Unusual association of diseases/symptoms
Contraindications
Emergency medical care
Fistula
General anesthesia
Hepatitis
Humans
Injuries
Intubation
Male
Mortality
Ostomy
Pediatrics
Pneumothorax
Quality of Life
Respiratory system
Retrospective Studies
Silicones
Stents
Tracheal Stenosis - diagnostic imaging
Tracheal Stenosis - etiology
Tracheal Stenosis - surgery
Trauma
Respiratory system
Adult intensive care
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Summary: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.
Bibliography:ObjectType-Case Study-2
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ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2023-255189