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Laryngotracheal stenosis is an umbrella term for a wide and heterogeneous group of very rare conditions. The population incidence of adult post-intubation laryngotracheal stenosis which is the commonest benign sub-type of this condition is approximately 1 in 200,000 adults per year. [10] The main causes of adult laryngotracheal stenosis are:
A tracheostomy tube may be single or dual lumen, and also cuffed or uncuffed. A dual lumen tracheostomy tube consists of an outer cannula or main shaft, an inner cannula, and an obturator. The obturator is used when inserting the tracheostomy tube to guide the placement of the outer cannula and is removed once the outer cannula is in place.
More severe treatments include silicone stenting to prevent tracheal constriction, surgery to strengthen or attempt to rebuild the walls, continuous positive airway pressure [12] that has a machine blow small amounts of air into the trachea to keep it open (mainly at night), or a tracheostomy, [13] which is surgically inserted into the patient ...
Spirometry is a useful way to measure respiratory function. People affected by subglottic stenosis have a FEV1 of over 10. [2] Subglottic stenosis is graded according to the Cotton-Myer classification system from one to four based on the severity of the blockage. Grade 1 is up to 50% obstruction, Grade 2 is 50-70% obstruction, Grade 3 is 70-99% ...
These range from medical management over mechanical ventilation (both continuous positive airway pressure (CPAP) [8] or bi-level positive airway pressure (BiPAP) [9] [10]), to inserting a tracheal stent [8] and surgery. [8] Surgical techniques include aortopexy, tracheopexy, tracheobronchoplasty, and tracheostomy.
Tracheitis is an inflammation of the trachea. [1] Although the trachea is usually considered part of the lower respiratory tract, [2] in ICD-10 tracheitis is classified under "acute upper respiratory infections". [3]
Congenital TEF can arise due to failed fusion of the tracheoesophageal ridges after the fourth week of embryological development. [4] A fistula, from the Latin meaning 'a pipe', is an abnormal connection running either between two tubes or between a tube and a surface. In tracheo-esophageal fistula it runs between the trachea and the esophagus.
The most common tracheal injury is a tear near the carina or in the membranous wall of the trachea. [15] In blunt chest trauma, TBI occurs within 2.5 cm of the carina 40–80% of the time. [ 2 ] The injury is more common in the right main bronchus than the left, possibly because the former is near vertebrae , which may injure it. [ 2 ]