Management Of Tracheal Stenosis After Accidental Corrosive Acid Ingestion

Year 2019, Volume: 7 Issue: Ek - IRUPEC 2019 Kongresi Tam Metin Bildirileri, 298 - 301, 10.12.2019

Hıdır Esme , Hasan Doğan

Abstract

Although corrosive injury of the digestive tract is a well-known clinical entity, damages of the airway, a critically life-threatening condition, has not been clearly documented. Tracheal stenosis is very rare associated with corrosive acid ingestion. We report the case of a 4-year-old girl child who presented to the emergency department three week after accidentally drinking an acidic cleaning agent stored in unlabeled bottle. Rigid bronchoscopy was carried out to observe the stenosis. She was treated by serial dilation, repair of tracheal laceration, and placement of a temporary polyurethane-coated nitinol stent. Careful and accurate stent placement may provide significant and life-saving airway improvement as observed in the presenting pediatric case.

Keywords

Corrosive injury

References

• References 1- Huang CC, Wu HS, Lee YC. Extensive tracheobronchitis and lung perforation after alkaline caustic aspiration. Ann Thorac Surg. 2010 May;89(5):1670-3. 2- Represas C, Fernandez A, Leiro V, Botana M, Rodriguez C, at al. Caustic tracheobronchitis. J Bronchology Interv Pulmonol. 2006; 13:156-8. 3- Jaillard S, Nseir S, Métois D, Marquette CH, Darras J, Porte H, Wurtz A. Extensive corrosive injuries of the upper airways and gastrointestinal tract. J Thorac Cardiovasc Surg. 2002 Jan;123(1):186-8. 4- Mostafa BE, Dessouky OY. The role of endoluminal self-expanding stents in the management of pediatric tracheal stenosis. Int J Pediatr Otorhinolaryngol. 2008 Sep;72(9):1371-6. 5- Stephens KE Jr, Wood DE. Bronchoscopic management of central airway obstruction. J Thorac Cardiovasc Surg. 2000 Feb;119(2):289-96. 6- Bansal S, Dhingra S, Ghai B, Gupta AK. Metallic stents for proximal tracheal stenosis: is it worth the risk? Case Rep Otolaryngol. 2012;2012:1-3. 7- Kumar P, Bush A.P, Ladas G.P, Goldstraw P. Tracheobronchial obstruction in children: experience with endoscopic airway stenting, Ann. Thorac. Surg. 75 (2003) 1579—1586. 8- Arda IS, Boyvat F, Otgün I, Güney LH, Hiçsönmez A. Preliminary experience with tracheal stent application in children with tracheal stenosis. Eur J Pediatr Surg. 2007 Aug;17(4):241-3. 9- Cabezalí Barbancho D, Pacheco Sánchez JA, López Díaz M, Tejedor Sánchez R, Benavent Gordo M. The role of tracheobronchial stenting in the management of pediatric airway obstruction. Cir Pediatr. 2007 Jul;20(3):175-9.