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Anales de Otorrinolaringología Mexicana

2022, Number 2

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Otorrinolaringología 2022; 67 (2)

Open tracheoplasty due to prolongedpostintubation severe tracheal stenosis in a patient with COVID-19 (SARS-CoV-2)

López-Chavira A, Hernández-Bueso NA, Hernández-Abarca E, López-Montoy M, Busto-Ruano JP, Calzada-Martínez S, López-Montoy J

Language: Spanish
References: 15
Page: 174-179
PDF size: 292.28 Kb.


ABSTRACT

Background: The incidence of postintubation laryngeal and tracheal stenosis is between 0.3% and 11%, and the duration of intubation is the most relevant risk factor for their appearance.
Clinical case: A 56-year-old male patient who was diagnosed with SARS-CoV-2 pneumonia requiring mechanical ventilation with orointubation for 10 days. The evolution was favorable, achieving his hospital discharge. Six weeks later, he presented progressive dyspnea and biphasic stridor. The laryngoscopy showed no involvement of the supraglottis or glottis. In the neck tomography with three-dimensional reconstruction of the airway, stenosis of the 1st to 5th tracheal ring with obstruction of more than 90% of the lumen was observed. Due to the characteristics of the stenosis, we decided to perform a tracheoplasty with end to end anastomosis achieving complete relieve of the symptoms. The clinical case and surgical technique are presented.
Conclusions: Due to the increase in the number of patients intubated due to the COVID-19 pandemic, it is necessary to detect complications, such as subglottic and tracheal stenosis.


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