A rare tracheal lesion

Summary We report a potentially life‐threatening tracheal lesion that caused postextubation stridor in a child following dental surgery. The child developed a cough, dysphonia, stridor, and respiratory distress hours after his operation. Standard therapy for postextubation stridor was ineffective. A...

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Bibliographic Details
Published in:Pediatric anesthesia 2005-01, Vol.15 (1), p.73-76
Main Authors: BIRCH, CRAIG WALTER, SALKELD, LESLEY JOAN
Format: Article
Language:English
Subjects:
Airway Obstruction - etiology
Ambulatory Surgical Procedures
Anesthesia
Anesthesia, General
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
fibrinous pseudomembrane
Glottis - pathology
Humans
Intubation, Intratracheal - adverse effects
Male
Medical sciences
Oral Surgical Procedures
postextubation
Postoperative Complications - physiopathology
Postoperative Complications - therapy
Respiratory Sounds - etiology
stridor
Trachea - injuries
Trachea - pathology
tracheal lesion
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Summary:Summary We report a potentially life‐threatening tracheal lesion that caused postextubation stridor in a child following dental surgery. The child developed a cough, dysphonia, stridor, and respiratory distress hours after his operation. Standard therapy for postextubation stridor was ineffective. A lateral neck X‐ray suggestive of subglottic pathology prompted an endoscopy. This revealed a fibrinous membrane that was attached to the anterior trachea and required mechanical ablation. The child made an uneventful recovery. This lesion has not been reported in children before and we believe that it is important in the differential diagnosis of postextubation stridor as it requires specific therapy.
ISSN:1155-5645
1460-9592
DOI:10.1111/j.1460-9592.2005.01382.x