LXXIX Benign Stenosis of the Trachea

Difficult intubation due to undiagnosed congenital tracheal web

“…Hollinger et al [1], classified tracheal anomalies into either congenital fibrous strictures, or anomalies involving absent or deformed cartilage. The former group comprises of tracheal webs and stenosis associated with esophageal atresia, while the second group includes various other cartilaginous anomalies such as tracheomalacia, stenosis associated with vascular rings and congenital tracheal webs [1].…”

“…Other manifestations include stridor, dyspnea, use of accessory respiratory muscles and even failure to thrive in infants [1,2,3]. In adults tracheal webs are commonly a consequence of traumatic or prolonged endotracheal intubation [4,5].…”

“…Clinical suspicion and appropriate diagnostic imaging combined with endoscopic examinations are the mainstay approach. Symptoms of stridor, dyspnea and frequent respiratory infections are the most common clinical presentations [1]. We report a case of difficult intubation in a child due to an undiagnosed congenital tracheal web.…”

“…Congenital tracheal web is a rare anomaly, usually misdiagnosed as asthma or chronic obstructive lung diseases [1,2]. Clinical suspicion and appropriate diagnostic imaging combined with endoscopic examinations are the mainstay approach.…”

A Case of ‘Bronchial String’ – A Rare Anomaly of the Bronchus

“…Congenital tracheal obstructive lesions are classi fied as fibrous structures, or as lesions associated with absence or deformity of tracheal cartilages [2,4], The former includes webs, fibrous stenosis and stenosis associated with tracheo-esophageal fistula.…”