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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:
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.
[1] [4] Over inflation of the cuff causes the tracheostomy tube to erode into the posterior aspect of the innominate artery leading to the formation of a fistula. [2] The pathogenesis of an TIF by the aforementioned method is pressure necrosis by tracheostomy tube on the tracheal wall. [2]
Tracheobronchomalacia (TBM) is a condition characterized by flaccidity of the tracheal support cartilage which leads to tracheal collapse. [1] This condition can also affect the bronchi. There are two forms of this condition: primary TBM and secondary TBM. Primary TBM is congenital and starts as early as birth. It is mainly linked to genetic ...
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% ...
Intubation granuloma is a benign growth of granulation tissue in the larynx or trachea, which arises from tissue trauma due to endotracheal intubation. [1] This medical condition is described as a common late complication of tracheal intubation, specifically caused by irritation to the mucosal tissue of the airway during insertion or removal of the patient's intubation tube.
The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM.
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.