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What Causes Laryngitracheal Stenosis?

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Posted on Fri, 8 May 2015
Question: Damage happened to husband's neck from vent and feeding tube in wrong at Oklahoma Heart Hospital. After home for 3 weeks his neck closed off when laying down and rushed to XXXXXXX where a ENT put in a trach saying he could not see blockage. After a couple of months recovery the ENT sent us to XXXXXXX KS to lotolaryngology clinic where they showed us a picture of his neck totally blocked by scar tissue. They set operation a month later and opened it 70 percent. After 3 weeks we went back for check up to prepare for second surgery to open remaining and he had been doing very well and able to talk. But in the office, while they took a picture with the trach out I saw blue lines in the camera and two doctors came in and removed blue surgical threat that was embedded down in his trachea. Since then his throat has again closed and his voice again is gone and he was doing good but now wonder if there is still more thread. They could not schedule any surgery for another month and since they reduced the trach to a number 6 he stuggles to get air. I called the doctor and he put him on predisone and a powerful antibiotic which caused shingle like blisters on his chest (until the doctor was called to get him off the antibiotic) and blood started coming out a feeding tube which was left in until his surgeries are over but has stopped since the predisone is over. The predisone did not seem to help and he is feeling better but still closing. The heart doctor gave him a stress test and said he didn't need to come back for a year and took him off all medicine except one baby asprin which my husband has never taken but stress test was required before doctor would do surgery. Question: Why would his throat block above the trach when the blue thread was embedded below? Could it be the damage from vent caused damage above and the damage from thread causing trouble below there too? Why could no one see the thread during surgery that opened his throat above or blockage above after CT? We are very concerned because all the doctors seem to know what they are doing. Even the lotolaryngology doctor said my husband was better than adverage before they removed the thread during the office visit.
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Answered by Dr. Abubakar Siddiqh (6 hours later)
Brief Answer:
Stent failure.

Detailed Answer:



Hello again,

Before going to answers, let me explain some facts about laryngitracheal stenosis.


1. soft stenosis or narrowing like webs can be dilated, post dilation stent with thread need to be worn for 12- 18 months.

In case of recurrence or stent failure, resection of that part( stenosis), end to end anastomoses is the last resort.

2. There are external factors (external compression by thyroid growths), diseases like amyloidosis, perichondritis, intrinsic factors ( chronic feeding tube, gastric reflux, repeated intubations, too much of scarring in healing phase) play a role in patency of trachea with stent.

3. Normally stenosis occurs in the area where less blood supply with more pressure.

It is difficult to tell the cause, it could be patient factors (chronic lung infections requiring the repeated suctions, associated feeding tube or from repeated infriction and infection from vents and thread.


Hope, I have answeed your query.

All the best. Take care.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Abubakar Siddiqh

ENT Specialist

Practicing since :1994

Answered : 2038 Questions

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What Causes Laryngitracheal Stenosis?

Brief Answer: Stent failure. Detailed Answer: Hello again, Before going to answers, let me explain some facts about laryngitracheal stenosis. 1. soft stenosis or narrowing like webs can be dilated, post dilation stent with thread need to be worn for 12- 18 months. In case of recurrence or stent failure, resection of that part( stenosis), end to end anastomoses is the last resort. 2. There are external factors (external compression by thyroid growths), diseases like amyloidosis, perichondritis, intrinsic factors ( chronic feeding tube, gastric reflux, repeated intubations, too much of scarring in healing phase) play a role in patency of trachea with stent. 3. Normally stenosis occurs in the area where less blood supply with more pressure. It is difficult to tell the cause, it could be patient factors (chronic lung infections requiring the repeated suctions, associated feeding tube or from repeated infriction and infection from vents and thread. Hope, I have answeed your query. All the best. Take care.