Abstract
We herein report a complicated case of post-traumatic tracheal stenosis. A 52-year-old male received an endotrachal intubation due to blunt head injury. One month later, when endotracheal tube was removed he complained of severe dyspnea. He subsequently underwent tracheostomy and consulted to our clinic. Dyspnea was caused by multifaceted factors; 1) endotracheal granulation formation enhanced by local infection of MRSA, 2) bony protrusion of the manubrium of the sternum posteriorly to compress the trachea, 3) extension of the tracheal cartilages into the trachea possibly due to previous neck injury. For these points, we performed staged surgeries in combination with an administration of antibiotics and steroids. Three years after the onset, tracheal stenosis was successfully retrieved and tracheostoma was closed. His clinical course thereafter has been well without dyspnea.
