SUBGLOTTIC STENOSIS AFTER PROLONGED INTUBATION: CASE REPORT AND MANAGEMENT

Vesna Petreska Dukovska; Blagoj Kocev; Gabriela Kopacheva; Igor Kamshikoski; Aleksandar Mitevski; Ana Pejkovska; Vlatko Cvetanovski

Vesna Petreska Dukovska Re-Medika General Hospital-Skopje, Faculty of Medical Sciences, Goce Delcev University in Stip, North Macedonia
Blagoj Kocev Health Center -Radovish, North Macedonia
Gabriela Kopacheva Clinic for ear, nose and throat, University Campus “Ss Mother Theresa”, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Igor Kamshikoski Clinic for ear, nose and throat, University Campus “Ss Mother Theresa”, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Aleksandar Mitevski Re-Medika General Hospital-Skopje, Faculty of Medical Sciences, Goce Delcev University in Stip, North Macedonia
Ana Pejkovska Clinic for ear, nose and throat, University Campus “Ss Mother Theresa”, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Vlatko Cvetanovski Re-Medika General Hospital-Skopje, Faculty of Medical Sciences, Goce Delcev University in Stip, North Macedonia

Abstract

Abstract
Subglottic stenosis represents abnormal narrowing of the airway below the vocal cords, most commonly resulting from prolonged endotracheal intubation. This condition can cause significant respiratory difficulties and requires timely recognition and treatment. This paper presents a clinical case of a young patient with subglottic stenosis and discusses the selection of an appropriate treatment method. We report the case of a 23-year-old patient with a history of prolonged intubation and tracheostomy. The patient underwent endoscopic evaluation followed by CO2 laser therapy combined with airway dilation. Surgical treatment with CO2 laser resection and dilation resulted in significant improvement of respiratory symptoms and airway patency. The patient recovered successfully and continued with regular postoperative follow-up without complications. Subglottic stenosis is a frequent complication after prolonged intubation and requires early recognition. Endoscopic CO2 laser therapy combined with dilation represents an effective treatment method. Early detection, appropriate treatment selection, and long-term follow-up are crucial for a successful outcome.

Keywords: subglottic stenosis, intubation, CO2 laser, dilation, tracheostomy

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