PMC5902080_01
3D CT neck showing stenotic portion.
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fig1
The patient returned back to our ENT OPD 1 year after the dilatation with complaints of hoarseness of voice and stridor. 3D CT neck (Figures 1 and 2) revealed tracheal stenosis over approximately 11 mm length, noted at the level of cricoid cartilage.
3D CT neck showing stenotic portion.
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fig2
The patient returned back to our ENT OPD 1 year after the dilatation with complaints of hoarseness of voice and stridor. 3D CT neck (Figures 1 and 2) revealed tracheal stenosis over approximately 11 mm length, noted at the level of cricoid cartilage.
CT neck 6 month postoperatively.
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fig3
CT neck 6 month postoperatively (Figure 3) suggested of no evidence of stenosis.
PMC5902080_02
Endotracheal tube number 4 inserted after laser-assisted release of stenosis.
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fig4
Endotracheal tube number 4 was inserted through the tracheostomy (Figures 4 and 5) site upward in a retrograde fashion through the stenosis to maintain patency.
Endotracheal tube number 4 inserted after laser-assisted release of stenosis.
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fig5
Endotracheal tube number 4 was inserted through the tracheostomy (Figures 4 and 5) site upward in a retrograde fashion through the stenosis to maintain patency.
PMC5902080_03
Stenosis seen 4 cm below the glottis.
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fig6
The patient came to our OPD where on indirect laryngoscopy it was revealed that the patient has bilateral abductor cord palsy with interarytenoid adhesion, and on flexible bronchoscopy, there was a stenosis seen, 4 cm (Figure 6) below the glottis which was grade II soft stenosis.
Postoperative image of Kashima's cordotomy.
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fig7
Right side cordotomy was done using CO2 laser (Figure 7), followed by dilatation of stenotic portion using rigid bronchoscope.
PMC5902080_04
Tracheal stenosis at level of tracheostoma.
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fig8
Tracheal stenosis was visualized at level of tracheostoma (Figure 8).
PMC5902080_05
Laser excision of stenosis.
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fig9
They agreed for the surgery and excision of stenosis by holmium laser (Figure 9) with balloon dilatation followed by mitomycin C application was done.