Clinical examples tracheal stenosis
Case 3. Anterior and posterior subglottic stenosis.
63-year-old female presenting with
circumferential subglottic stenosis
after intubation during a 2 weeks period.
There is ankylosis of the arytenoids.
Stenosis ends at lower margin of the
cricoid cartilage.
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Anterior
and posterior subglottic stenosis.
a. Schematic presentation.
b. CT scan sagittal reformation |
Tracheal reconstruction case 3 (Click
on the links to view/hide the consecutive images).
a. Axial
CT scan of stenosis.
b.
Schematic presentation of reconstruction. The larynx is incised in
the anterior and posterior midline. A rib cartilage graft (1)
is placed posteriorly. The mucosa-lined fascia (2)
will be inserted anteriorly. A silicone tracheal stent (3)
is tailored to support the reconstruction
during 1 month.
c.
Situation after stent removal.
1. Axial CT scan at level of arytenoids.
2. Axial CT scan at subglottic level.
The rib cartilage is visible posteriorly; the mucosa-lined
fascia is
visible anteriorly.
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