Management of an Acute Airway Obstruction Due to Tracheal Carcinoma in a Patient With Severe Glottic Stenosis

In this paper, we present the case of acute airway obstruction due to tracheal carcinoma in a patient with glottic stenosis due to previously treated laryngeal carcinoma. Because of severe dyspnea from the obstructive endotracheal mass, tracheotomy under local anesthesia was immediately performed. I...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-01, Vol.15 (1), p.e33203
Main Authors: Basiari, Lentiona V, Michali, Maria C, Komnos, Ioannis D, Litsou, Eleni V, Psychogios, Georgios V
Format: Article
Language:English
Subjects:
Airway management
Cancer
Case reports
Chemotherapy
Chronic obstructive pulmonary disease
Dyspnea
Emergency medical care
Endoscopy
Head & neck cancer
Intubation
Larynx
Lasers
Local anesthesia
Lymphatic system
Metastasis
Oncology
Ostomy
Otolaryngology
Patients
Pediatrics
Radiation therapy
Squamous cell carcinoma
Surgery
Tomography
Tracheotomy
Tumors
Visualization
Citations: Items that this one cites
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Summary:In this paper, we present the case of acute airway obstruction due to tracheal carcinoma in a patient with glottic stenosis due to previously treated laryngeal carcinoma. Because of severe dyspnea from the obstructive endotracheal mass, tracheotomy under local anesthesia was immediately performed. Intubation with pediatric size (I.D. 4.5 mm) cuffed endotracheal tube was performed by the surgeon through tracheostomy under endoscopic visualization. Blakesley forceps and electrocautery were used for tumor debulking. Postoperatively there were no complications and the patient was discharged after four days. The histopathology report showed a squamous cell carcinoma. The tumor board decided on adjuvant chemoradiotherapy for the treatment of the patient.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.33203