Difficulty in Endotracheal Intubation Due to Congenital Tracheal Stenosis

Esener, Z.; Tür, Ayla; Diren, B.

doi:10.1097/00000542-198808000-00024

Cited by 11 publications

(8 citation statements)

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“…Various airway management techniques have been reported for adult CTS cases. For example, shallow intubation stationed proximal to the tracheal narrowing (4,5), and utilization of a thin tube without cuff (10,12) or laryngeal mask (6,11). Laryngeal mask may have been an adequate alternative method of ventilation in our case.…”

Section: Discussionmentioning

confidence: 88%

“…However, it is extremely rare that patients survive undiagnosed. To the best of our knowledge, in English and Japanese literature, there have been only twelve reported cases of CTS discovered in adults, or those 18 years or older ( Table 1) (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14).…”

Section: Discussionmentioning

confidence: 99%

“…All cases required adjustment of intubation procedures. Some cases required surgery postponement (5,11), surgery duration shortening (9) or additional invasive methods such as tracheostomy (9,10). Difficult intubation is a potentially lethal airway emergency.…”

Section: Discussionmentioning

confidence: 99%

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Difficult intubation due to unknown congenital tracheal stenosis in the adult: a case report and literature review

et al. 2018

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Congenital tracheal stenosis (CTS) is a rare disorder almost always diagnosed in infancy due to respiratory failure and other cardiopulmonary abnormalities. We experienced a 42-year-old female undiagnosed with CTS until difficult intubation upon surgery. Chest X-ray and computed tomography (CT) images revealed bronchial narrowing, which could already be seen prior to intubation, but was left unnoticed. Difficult airway management is a potentially lethal airway emergency. This life-threatening situation is preventable with the appropriate awareness. We report this clinically valuable case for the safety of future patient care. In English and Japanese literature, there are only 12 reported cases of CTS diagnosed in the adult. Ours and six previous cases were discovered with difficult intubation, a preventable life-threatening airway emergency. Pre-intubation images should be examined carefully for the possibility of CTS, as its frequency may be underestimated. Moreover, in treatment resistant recurrent asthmatic episodes, CTS should be kept in mind.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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Difficult intubation due to unknown congenital tracheal stenosis in the adult: a case report and literature review

et al. 2018

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“…Tracheal stenosis can be asymptomatic and discovered unexpectedly as a cause of difficult intubation [58,59] or during a chest radiograph performed for unrelated reasons. Tracheal stenosis can be asymptomatic and discovered unexpectedly as a cause of difficult intubation [58,59] or during a chest radiograph performed for unrelated reasons.…”

Section: Larynxmentioning

confidence: 99%

Common Congenital Anomalies of the Central Airways in Adults

Mehta

Thaniyavarn

Ghobrial

et al. 2015

Chest

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“…Failure or difficulty to intubate the trachea can be either due to inability to visualize the glottis or some pathology at the level of or below the cords. Many cases of tracheal stenosis have been reported [1][2][3] , however only one report describes the presence of total laryngotracheal hypoplasia leading to difficult intubation in an adult patient 4 . We present a full-term pregnant patient undergoing emergency laparotomy for uterine rupture in which tracheal intubation was impossible with conventional sizes of tracheal tubes for that age.…”

mentioning

confidence: 99%

Laryngotracheal Hypoplasia—A Rare Cause of Difficult Intubation

Bhagchandani

Mohta

Sethi

et al. 2006

Anaesth Intensive Care

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Generalized hypoplasia of the larynx and trachea is a very rare condition with only one case reported in the literature. A pregnant woman presented for an emergency laparotomy under general anaesthesia. Endotracheal intubation with conventional sizes of tracheal tubes failed, despite a Cormack and Lehane grade I laryngoscopic view. Subsequent investigations demonstrated generalized hypoplasia of the larynx and trachea. In this report, successful anaesthetic management of this case is discussed along with other possible options.

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Difficulty in Endotracheal Intubation Due to Congenital Tracheal Stenosis

Cited by 11 publications

References 0 publications

Difficult intubation due to unknown congenital tracheal stenosis in the adult: a case report and literature review

Difficult intubation due to unknown congenital tracheal stenosis in the adult: a case report and literature review

Common Congenital Anomalies of the Central Airways in Adults

Laryngotracheal Hypoplasia—A Rare Cause of Difficult Intubation

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