The role of upper airway ultrasonography in tracheal necrosis diagnosis: a case report.

IF 3.4 Q2 Medicine
Mas Fazlin Mohd Jailaini, Mohd Jazman Che Rahim, Wan Aireene Wan Ahmed, Shaik Farid Abdull Wahab, Mohamed Faisal Abdul Hamid, Fahrin Zara Mohammad Nasseri
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引用次数: 0

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.

上气道超声波检查在气管坏死诊断中的作用:病例报告。
背景:气管插管后气管坏死是一种罕见的危及生命的疾病,可危及气道通畅。我们展示了利用上气道超声成像(USG)诊断气管坏死的新方法:一名吸烟的中年男性因有痰咳嗽、呼吸嘈杂和劳力性呼吸困难就诊两周。一个月前,他因脑外伤而插管。上气道 USG 检查结果显示第一和第二气管环上有不规则的气粘膜界面(AMI)和彗尾伪影。在手术室进行的直接喉镜检查显示,声带下部有厚厚的粘膜,坏死的气管软骨和碎片阻塞了气道。他接受了肠外抗生素、伤口清创和气管造口术,并获得了成功:结论:我们的病例是首次有记录的气管坏死 USG 发现。上气道 USG 是治疗该病的一种潜在诊断方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Ultrasound Journal
Ultrasound Journal Health Professions-Radiological and Ultrasound Technology
CiteScore
6.80
自引率
2.90%
发文量
45
审稿时长
22 weeks
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