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,
Abstrak
Dalam situasi kecemasan, intubasi endotrakeal merupakan langkah penting untuk melindungi saluran pernafasan. Walau bagaimanapun, salah satu komplikasi yang jarang berlaku tetapi sangat membimbangkan berkaitan dengan intubasi endotrakea ialah trakeitis nekrotik. Keadaan yang mengancam nyawa ini boleh menyebabkan komplikasi yang serius, termasuk saluran pernafasan tersumbat, perforasi trakea dan akhirnya kematian akibat gangguan ventilasi. Pertimbangan terhadap komorbiditi pesakit, seperti diabetes mellitus, adalah amat penting. Keadaan imuniti yang terjejas meningkatkan risiko komplikasi yang teruk secara signifikan, di mana kumpulan ini cenderung mengalami kesan klinikal yang lebih buruk berbanding individu yang lebih sihat.
Kata Kunci : Intubasi; laringotrakeal; nekrotik; stenosis; trakeitis,

Correspondance Address
*Correspondence: zaranasseriwork@gmail.com; Tel: +6012 4841322


(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.