Dewan Palak, Joshi Anagha A, Patil Abhimanyu
Department of ENT, Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2456-2459. doi: 10.1007/s12070-023-03713-5. Epub 2023 Apr 19.
Tracheitis sicca is a rare condition where there is drying and crusting of tracheal mucosa which may lead to tracheal obstruction and respiratory distress. Reported here is a case of young boy, who presented with cough, cold and respiratory distress worsening over a period of 5 days. On admission the patient was administered with dexamethasone and was intubated. However, saturation was not maintained despite assisted ventilation, and multiple episodes of self extubation always presented with stridor. Hence, otorhinolaryngology reference was taken and decision was taken to perform laryngotracheobronchoscopy. Endoscopy done showed extensive crusting in the trachea causing complete obstruction of airway above the level of carina. The crusting was meticulously removed, sent for culture, and the obstruction was relieved. The patient maintained saturation after the procedure, and was ultimately extubated and discharged.
干性气管炎是一种罕见病症，气管黏膜会出现干燥和结痂，这可能导致气管阻塞和呼吸窘迫。本文报告了一名小男孩的病例，他出现咳嗽、感冒，呼吸窘迫在5天内逐渐加重。入院时，患者接受了地塞米松治疗并进行了插管。然而，尽管进行了辅助通气，血氧饱和度仍未维持，且多次自行拔管后总是伴有喘鸣。因此，寻求了耳鼻喉科会诊，并决定进行喉气管支气管镜检查。内镜检查显示气管内有广泛结痂，导致隆突水平以上气道完全阻塞。小心地清除了结痂，送去进行培养，气道阻塞得以缓解。术后患者血氧饱和度维持良好，最终拔管并出院。
