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Tracheal stenosis is
a disorder in which the trachea (windpipe) becomes abnormally thin,
making it challenging for air to move in and out of the lungs. Prolonged
endotracheal intubation or tracheostomy is the most prevalent cause of
acquired tracheal stenosis. This can induce scarring and fibrosis of the
airway. Trauma, infections, autoimmune illnesses, tumours, or
inflammatory conditions are some of the other things that might cause this.
People with tracheal
stenosis usually have symptoms like shortness of breath, wheezing, stridor
(a high-pitched breathing sound), a chronic cough, and a lower tolerance for
activity. Because these symptoms are similar to those of asthma or other
breathing problems, it might take a long time to get a diagnosis. CT scans and direct
visualisation through bronchoscopy are two types of imaging tests
that are very important for making an accurate diagnosis and figuring out how
bad the problem is.
The treatment depends on how
bad the narrowing is and how long it lasts. For mild cases, conservative
treatment may be enough. However, for moderate to severe stenosis,
interventional techniques like balloon dilation, laser therapy, stent
implantation, or surgical resection with reconstruction are usually
needed. Early diagnosis and proper care are essential to avert life-threatening
airway blockage and enhance long-term respiratory outcomes.