Successful Management of Recurrent Post-Intubation Subglottic Stenosis after Surgical Resection: Endoscopic Dilation and Dumon Stent Placement with External Fixation. A Case Report
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Abstract
Post-intubation subglottic stenosis is an uncommon but potentially serious complication. We present the case of a 39-year-old man with a history of hypertension and psoriasis who developed grade IV subglottic stenosis after prolonged intubation for a left basal ganglia hemorrhage. After laryngotracheal resection with end-to-end anastomosis, he experienced a recurrence refractory to endoscopic dilations. The patient underwent bronchoscopic dilation and placement of a silicone Dumon stent with external fixation using a percutaneous suture. The patient had no recurrence or complications after 18 months of follow-up.
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