Case reports in otolaryngology · 2026
Obstructive Fibrinous Tracheal Pseudomembrane Following Short-Term Intubation: A Case Report and Management Considerations.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Khoury Sami, Fung Kevin, You Peng, Strychowsky Julie
Аннотация
INTRODUCTION: Obstructive fibrinous tracheal pseudomembrane (OFTP) is a rare but serious complication of endotracheal intubation that can cause airway obstruction, postextubation stridor, and respiratory distress. Due to its nonspecific presentation, it is often misdiagnosed and early recognition and intervention are critical to prevent respiratory compromise.
CASE: We present the case of a 17-year-old female who required 36 h of intubation for status epilepticus. She developed stridor within 24 h of extubation and presented with subglottic narrowing that did not respond to medical treatment. Bronchoscopy revealed a fibrinous pseudomembrane coating the subglottic and tracheal mucosa down to the carina, which was successfully removed, leading to complete symptom resolution. She did not have any recurrence postoperatively and no residual symptoms at her follow-up.
DISCUSSION: This case highlights the importance of considering OFTP in patients with postextubation stridor refractory to medical therapy. While ischemic injury from high endotracheal cuff pressures is a known cause, mechanical trauma and aspiration may also contribute. Bronchoscopy is essential in the diagnosis and treatment of this condition.
CASE: We present the case of a 17-year-old female who required 36 h of intubation for status epilepticus. She developed stridor within 24 h of extubation and presented with subglottic narrowing that did not respond to medical treatment. Bronchoscopy revealed a fibrinous pseudomembrane coating the subglottic and tracheal mucosa down to the carina, which was successfully removed, leading to complete symptom resolution. She did not have any recurrence postoperatively and no residual symptoms at her follow-up.
DISCUSSION: This case highlights the importance of considering OFTP in patients with postextubation stridor refractory to medical therapy. While ischemic injury from high endotracheal cuff pressures is a known cause, mechanical trauma and aspiration may also contribute. Bronchoscopy is essential in the diagnosis and treatment of this condition.