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?
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.
Laser excision and stent insertion
Steroids
Tracheal dilation
Tracheal resection and end-to-end anastomosis
Larynx