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Case Reports in Otolaryngology
Volume 2012 (2012), Article ID 450304, 3 pages
Metallic Stents for Proximal Tracheal Stenosis: Is It Worth the Risk?
1Department of Otolaryngology, PGIMER, Chandigarh-160012, India
2Department of Anaesthesia, PGIMER, Chandigarh-160012, India
Received 3 April 2012; Accepted 24 June 2012
Academic Editors: M. B. Naguib and Y. Orita
Copyright © 2012 Sandeep Bansal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.