Tracheal Stenosis after Endotracheal Intubation -A Case Report -

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Case Report

Journal of the Korean Society of Traumatology 2004;17(2):243-246.

Sung Youl Hyun, M.D., Young Joon Kang, M.D.*, Jin Joo Kim, M.D.*, Yong In Kim*, Jae Kwang Kim, M.D.*, Yong Su Lim, M.D.*, Hyuk Joon Yang, M.D.*, Tae Suk Seo, M.D.**, Hee Kwon Park, M.D.***, Suk Ki Lee, M.D.****

Department of Emergency Thoracic and Cardiovascular Surgery
Gacheon Medical School, Gil Medical Center, Department of Emergency Medicine, Gacheon Medical School, Gil Medical Center^*
Department of emergency radiology, Gacheon Medical School, Gil Medical Center^**
Department of Anesthesiology, Gacheon Medical School, Gil Medical Center^***
Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chosun University****

기관 삽관후 발생한 기관 협착 -치험 1례-

현성열·강영준*·김진주*·김용인*·김재광*·임용수*·양혁준*·서태석**·박희권***·이석기****

가천의과대학교 길병원 응급센타 흉부외과, 가천의과대학교 길병원 응급의학과^*
가천의과대학교 길병원 영상의학과^**
가천의과대학교 길병원 마취통증의학과^***
조선대학교 흉부외과****

Abstract

Tracheal intubation is the most common cause of Tracheal stenosis. The treatment of trachea stenosis vary according to site or size of tracheal stenosis. Thirty six age old man was transferred our hospital for evaluation of dyspnea. Subglottic stenosis was shown on bronchoscopy & chest computerized tomography(CT) scan of neck. Balloon dilatation was performed and then patient breathed at ease. Tracheal resection and end-to-end anastomosis was applied to repetitive tracheal stenosis. Balloon dilatation before surgical management makes better respiratory difficulty. We report succesful application of surgical management after balloon dilatation in repetitive tracheal stenosis patient. We will suggest that the balloon dilatation improve symptoms before tracheal resection and end-to-end anastomosis or stent, if sugery or stent insertion are not appliable due to poor status of patient.

Key Words: Tracheal stenosis; Surgery; Balloon dilatation

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