A 25-year-old female presented with gradually increasing respiratory distress since 4 days. She gives history of hospitalisation and mechanical ventilation with orotracheal intubation for 2 weeks. Now she is diagnosed as having severe laryngotracheal stenosis. Next step in the management is:
(d) Resection and end to end anastomosis(Ref. Current Diagnosis & Treatment Otolaryngology, Lalwani, 3rd ed., 487)Prolonged intubation has resulted in subglottic stenosis. Since it is severe, resection and end to end anastomosis is the treatment of choice. Steroids have no role.LASER excision and tracheal dilation are considered in mild subglottic stenosis.
LASER excision
Steroids
Tracheal dilation
Resection and end to end anastomosis
Congenital Lesions and Stridor