Necrotising Tracheitis Resulting in Complete Laryngotracheal Stenosis: A Life-Threatening Complication of Tracheal Intubation

Vol. 21 No. 6 (suppl) : 2026 (21-25)

Maryam Jamilah Mohamad Shahriman
Maryam Jamilah Mohamad Shahriman
 Zara Nasseri
Zara Nasseri

Abstract
In emergency situations, endotracheal intubation serves as a crucial measure for airway protection. However, one of the rare but highly concerning complications associated with endotracheal intubation is necrotising tracheitis. This life-threatening condition can result in severe outcomes, including airway obstruction, tracheal perforation and ultimately, death due to compromised ventilation. Considering a patient’s comorbidities, such as diabetes mellitus, is of paramount importance. An immunocompromised state significantly heightens the risk of severe complications, with this group experiencing worse outcomes when compared to healthier individuals.

Keywords : Intubation; laryngotracheal; necrotising; stenosis; tracheitis,

Correspondance Address
*Correspondence: zaranasseriwork@gmail.com


(a) Bedside FNPLS of subglottic view, revealed thick greenish mucopus at the subglottis and slough within necrotic tracheal mucosa (orange arrow), blue arrow showed right wall subglottic area; (b) Direct laryngoscopy with laryngeal spreader lateralising bilateral true cords (yellow arrow) showing that there was a necrotic segment of the trachea (green arrow) which then removed.