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Successful repair of tubercular tracheal stenosis: a rare case report

Published online by Cambridge University Press:  04 May 2011

U Dalal ,
A K Dalal ,
R Singal ,
A K Attri ,
R K Arion  and
S Gupta
U Dalal
Affiliation:
Department of Surgery, Government Medical College and Hospital, Chandigarh, Punjab, India
A K Dalal
Affiliation:
Department of Surgery, Government Medical College and Hospital, Chandigarh, Punjab, India
R Singal*
Affiliation:
Department of Surgery, Maharishi Markendeshwar Institute of Medical Sciences and Research, Mullana (Ambala), Haryana, India
A K Attri
Affiliation:
Department of Surgery, Government Medical College and Hospital, Chandigarh, Punjab, India
R K Arion
Affiliation:
Department of Radiodiagnosis and Imaging, Maharishi Markendeshwar Institute of Medical Sciences and Research, Mullana (Ambala), Haryana, India
S Gupta
Affiliation:
Department of Radiodiagnosis and Imaging, Maharishi Markendeshwar Institute of Medical Sciences and Research, Mullana (Ambala), Haryana, India
*
Address for correspondence: Dr Rikki Singal, C/o Dr Kundan Lal Hospital, Ahmedgarh, Distt-Sangrur, Pin code-148021, Punjab, India Fax: 01731-304550 E-mail: singalrikki@yahoo.com
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Abstract

Objective:

We report a rare case of successful surgical management of tubercular tracheal stenosis. There was no history of tracheostomy except for trauma management.

Case report:

A 24-year-old man presented with breathing difficulty. He had previously sustained blunt chest injury, a fractured mandible and minor head injury in a traffic accident. Despite successful mandibular fracture fixation, he subsequently developed progressive breathing difficulty with stridor. The patient was treated successfully with surgical resection and bronchoplastic reconstruction. Post-operatively, endotracheal tuberculosis was diagnosed.

Conclusion:

Endotracheal tuberculosis is rare despite the high incidence of pulmonary tuberculosis in India. Early diagnosis and prompt treatment are necessary to prevent tuberculous tracheobronchial stenosis, an extremely rare but serious clinical problem which can cause obstructive pneumonia and exertional dyspnoea. Surgical resection and bronchoplastic reconstruction is the established treatment for such stenosis. Patients with active tuberculosis usually respond to conventional antitubercular treatment.

Keywords

TracheaTuberculosisSurgical Procedures, Operative
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 7 , July 2011 , pp. 757 - 760
Copyright
Copyright © JLO (1984) Limited 2011

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