Bronchoscopic Cryotherapy in Management of Post Tracheostomy Tracheal Stenosis: An Unconventional Novel Approach

Post tracheostomy / Post intubation -tracheal stenosis is a relatively rare but a serious problem which warrants a precise diagnosis and a multimodality-multidisciplinary approach for successful outcome. Traditionally, depending upon the type and site of stenosis, such cases are managed by open surgical approach and occasionally by endoscopic approach with dilatation. We report a case, a post traumatic quadriplegic on tracheostomy tube with suprastomal granulation and web like brous stenosis, which w a s m a n a g e d s u c c e s s f u l l y b y bronchoscopiccryotherapy.Bronchoscopiccryot herapy can be considered as primary modality treatment in select group of cases.