Objective: To report the first case of using the insulation-tipped diathermic knife 2 (IT knife-2) for the treatment of postintubation tracheal stenosis.
Clinical Presentation And Intervention: A 71-year-old female patient with a history of endotracheal intubation 3 years earlier presented with throat discomfort, gross wheezing and dyspnea. Chest imaging and bronchoscopy demonstrated a strand-like tracheal stenosis in the upper trachea. The IT knife-2 was used to treat the patient and the lesion was palliated without complication.
Conclusion: This case was successfully treated with the IT knife-2 and thus implies a potential usefulness of the IT knife-2 as a new modality for bronchoscopic intervention.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5588309 | PMC |
| http://dx.doi.org/10.1159/000441172 | DOI Listing |
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Article Synopsis
- The study examined patients with tracheal or laryngotracheal stenosis who required tracheostomy, focusing on their swallowing and clinical profiles before undergoing airway interventions.
- It involved a retrospective cohort study where patients underwent swallowing evaluations and imaging, with follow-ups at 6 and 12 months to assess progress.
- Results showed female predominance, high rates of subglottic stenosis, and that many had significant swallowing difficulties, indicating a need for personalized care due to potential complications affecting recovery.
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