Subglottic Stenosis After Double-Lumen Tube Intubation: A Case Report
Author Information
Author(s): Suzuki Masami, Yoshida Naohiro
Primary Institution: Department of Otolaryngology‐Head and Neck Surgery Jichi Medical University Saitama Medical Center Saitama Japan
Hypothesis
Subglottic stenosis after double-lumen tube intubation is more likely to occur when an oversized DLT is used in older, shorter women.
Conclusion
Tracheostomy is the best management for subglottic stenosis after double-lumen tube intubation.
Supporting Evidence
- Subglottic stenosis occurred on postoperative day 1 after intubation.
- Tracheostomy was performed on postoperative day 2 due to worsening respiratory status.
- The patient was extubated on postoperative day 17 and had no voice disorders 7 months after surgery.
Takeaway
Using a big tube to help people breathe can sometimes cause problems in their throat, especially for older, shorter women. If that happens, a special procedure called tracheostomy can help them breathe better.
Methodology
The case involved an 81-year-old woman who underwent thoracoscopic right lobectomy and experienced subglottic stenosis after double-lumen tube intubation.
Limitations
The study is limited by its small sample size and the predominant Japanese patient population in the available literature.
Participant Demographics
The participant was an 81-year-old woman, height 142.5 cm, weight 42.2 kg.
Digital Object Identifier (DOI)
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