A 26-year-old female presented with gradually increasing respiratory distress since 4 days. She has history of hospitalisation and mechanical ventilation with orotracheal intubation for 2 weeks. Now she is diagnosed as having severe tracheal stenosis. What would be the next line of management?
Laser excision and stent insertion
Steroids
Tracheal dilation
Tracheal resection and end-to-end anastomosis
Prolonged intubation implies tracheal stenosis. Line of treatment will depend on the site of stenosis and its extent. Since the patient developed respiratory distress only 4 days back, it implies inflammation superimposed on stenosed area. Steroids administration would be the best option.
Larynx