Basiari Lentiona V, Michali Maria C, Komnos Ioannis D, Litsou Eleni V, Psychogios Georgios V
Department of Otorhinolaryngology, Head, and Neck Surgery, University Hospital of Ioannina, Ioannina, GRC.
Cureus. 2023 Jan 1;15(1):e33203. doi: 10.7759/cureus.33203. eCollection 2023 Jan.
In this paper, we present the case of acute airway obstruction due to tracheal carcinoma in a patient with glottic stenosis due to previously treated laryngeal carcinoma. Because of severe dyspnea from the obstructive endotracheal mass, tracheotomy under local anesthesia was immediately performed. Intubation with pediatric size (I.D. 4.5 mm) cuffed endotracheal tube was performed by the surgeon through tracheostomy under endoscopic visualization. Blakesley forceps and electrocautery were used for tumor debulking. Postoperatively there were no complications and the patient was discharged after four days. The histopathology report showed a squamous cell carcinoma. The tumor board decided on adjuvant chemoradiotherapy for the treatment of the patient.
在本文中，我们报告了一例因既往接受过治疗的喉癌导致声门狭窄的患者，因气管癌引起急性气道梗阻的病例。由于阻塞性气管内肿物导致严重呼吸困难，立即在局部麻醉下进行了气管切开术。外科医生在内镜直视下通过气管造口置入了小儿尺寸（内径4.5 mm）带套囊气管内导管。使用布莱克斯利钳和电灼术进行肿瘤减瘤。术后无并发症，患者在四天后出院。组织病理学报告显示为鳞状细胞癌。肿瘤委员会决定对该患者进行辅助放化疗。
