Salvage of Critical Tracheal Stenosis Post-tracheal Reconstruction

Tracheal resection and primary anastomosis is the treatment of choice for a short-segment stenosis. However, the procedure does carry the risk of two potentially fatal complications: Anastomotic breakdown and anastomotic leak. We describe a case of 24-year-old man who was treated for a 4 to 5 cm tracheal stenosis secondary to a prolonged intubation and tracheostomy after organophosphorus poisioning. The patient underwent a tracheal resection and primary anastomosis under general anaesthesia with the use of 7.5 mm tracheotracheal tube. The patient was extubated postoperatively after 2 days of controlled ventilation. After 25 days, patient came with tachypnoea, stridor and respiratory distress in emergency department, which was dealt by tracheal dilatation and tracheal stenting. Patient was discharged the next day, with the advice of stent removal after 6 weeks. Even after 1 year, patient did not attend the follow-up clinic, but he communicated to us stating that he has no problem.