Vol.100 No.7 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 100 No. 7 Jury 2007
A Case of Subglottal Stenosis after Long-term Cannulation
of Mini-Trach? with Difficult Extubation
Takatoshi Furukawa and Teruaki Nagase
(Yamagata Prefectual Sinjo Hospital)
Subglottal stenosis is always caused by endotracheal intubation or tracheostomy. Treatment of subglottal stenosis is difficult and demands a time-consuming procedure. With Mini-Trach?, any doctor including otolaryngologists can easily perform the cricothyroidotomy, and some cases leave the hospital without extubation of the mini-trach in the cricothyroid membrane.
We report a case of subglottal stenosis after long-term cannulation with Mini-Trach? in the cricothyroid membrane successfully treated by laser surgery, so called Ho:YAG laser vaporization. There has not been any recurrence of subglottal stenosis for 18 months postoperatively.
It is important for not only otolaryngologists but also all doctors to be aware of the difficulty removing Mini-Trach? after long-term cannulation in the cricothyroid membrane.
Key words : subglottal stenosis, Mini-Trach?, cricothyroidotomy, Ho:YAG laser