A 26 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 tracheal stenosis. What would be the next line of management?
Acquired tracheal stenosis is usually secondary to previous tracheostomy or endotracheal intubation. Dyspnea, cough, and inability to clear pulmonary secretions occur weeks to months after tracheal decannulation or extubation. Physical findings may be absent until tracheal diameter is reduced 50% or more. The diagnosis is usually confirmed by plain films or CT of the trachea. Surgical reconstruction with primary end-to-end anastomosis, endotracheal stent placement, or laser photo resection may be required.
Laser excision and stent inseion
Steroids
Tracheal dilation
Tracheal resection and end to end anastomosis