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Anaesthetic management of a case of low tracheal stenosis.

Despite steady improvements in tracheotomy management, most follow up studies continue to report an incidence of late stricture of upto 50%, though Bjork flap is unlikely to be associated with stenosis. Symptoms do not occur unless the tracheal diameter is reduced upto 60%. Respiratory distress indicates a diameter of 6mm or less. Common site is at cuff or stoma. Such a case, and its anaesthetic management is presented here; he had stenosis one centimeter above carina making induction and ventilation almost impossible.