Laryngotracheal Anastomosis in a Patient with Upper Airway Stenosis Due to Prolonged Intubation: A Case Report

The most common cause of airway stenosis is prolonged intubation. Postintubation stenosis may be a delayed onset and may progress gradually. Endoscopic assessment and deciding to do a tracheostomy after 7 days is advised in adults. Segmented resection and primary anastomosis is the most effective modality of treatment for complete or near-complete tracheal stenosis. Surgeon’s ability for releasing trachea depends on multiple factors including neck extension. The patient of the present case report was a 19-year-old man who had complete tracheal stenosis because of prolonged endotracheal intubution(40 days). He had a severe blunt trauma, 2nd and 3rd cervical vertebra fractures and dislocation and spinal injury. Neck fixation was a great jeopardy for lanryngotracheal anastomosis. However, one year after surgery, the patient was decannulated successfully with normal laryngotracheal functions.