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The role of upper airway ultrasonography in tracheal necrosis diagnosis: a case report.
Ontology highlight
ABSTRACT: Background
Tracheal necrosis post endotracheal intubation is a rare life-threatening disease that can compromise airway patency. We demonstrated a novel usage of upper airway ultrasonography (USG) to diagnose tracheal necrosis.Case presentation
A middle-aged smoking male presented with productive cough, noisy breathing and exertional dyspnea for 2 weeks. He was intubated one month prior due to a traumatic brain injury. Upper airway USG findings showed irregular air-mucosal interface (AMI) and comet tail artefacts over the 1st and 2nd tracheal ring. A direct laryngoscopy in the operating room showed thick mucopus inferior to the vocal cords, with necrotic tracheal cartilages and debris obstructing the airway. He was successfully treated with parenteral antibiotics, wound debridement and tracheostomy.Conclusion
Our case highlights the first documented USG findings of tracheal necrosis. Upper airway USG serves as a potential diagnostic modality in managing the condition.
SUBMITTER: Fazlin Mohd Jailaini M
PROVIDER: S-EPMC11245455 | biostudies-literature | 2024 Jul
REPOSITORIES: biostudies-literature
Publications
The role of upper airway ultrasonography in tracheal necrosis diagnosis: a case report.
The ultrasound journal 20240712 1
<h4>Background</h4>Tracheal necrosis post endotracheal intubation is a rare life-threatening disease that can compromise airway patency. We demonstrated a novel usage of upper airway ultrasonography (USG) to diagnose tracheal necrosis.<h4>Case presentation</h4>A middle-aged smoking male presented with productive cough, noisy breathing and exertional dyspnea for 2 weeks. He was intubated one month prior due to a traumatic brain injury. Upper airway USG findings showed irregular air-mucosal interf ...[more]
