Two cases with postintubation tracheal stenosis after COVID-19 pneumonia

Submitted: October 6, 2022
Accepted: November 29, 2022
Published: January 23, 2023
Abstract Views: 685
PDF: 196
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.


Only a small percent of all intubated SARS-CoV-2-positive patients survive because of the development of severe respiratory and multiorgan failure. The development of tracheal stenosis after orotracheal intubation or tracheostomy is a dangerous complication with gross consequences for the patient and medical staff. Endoscopic interventional procedures could be used in simple tracheal stenosis and surgical resection and anastomosis are reserved for complex stenosis or after unsuccessful endoscopic treatment. We present two cases with tracheal stenosis as a complication of prolonged intubation in COVID-19 survivors which was diagnosed up to 6 months after discharge. Clinical management and surgical techniques are also discussed.



PlumX Metrics


Download data is not yet available.


Ahn HY, Cho JS, Kim YD, Hoseok I. Surgical outcomes of post intubational or post tracheostomy tracheal stenosis: report of 18 cases in single institution. Ann Thorac Cardiovasc Surg 2015;21:14–7. DOI:
Galluccio G, Lucantoni G, Battistoni P, et al. Interventional endoscopy in the management of benign tracheal stenoses: definitive treatment at long-term follow-up. Eur J Cardiothorac Surg 2009;35:429-34. DOI:
Karapantzos I, Karapantzou C, Zarogoulidis P, Tsakiridis K, Charalampidis C. Benign tracheal stenosis a case report and up to date management. Ann Transl Med 2016;4:451. DOI:
Grillo HC, Donahue DM, Mathisen DJ, et al. Postintubarion tracheal stenosis. Treatment and results. J Thorac Cardiovasc Surg 1995;109:486-93. DOI:
Nair S, Mohan S, Mandal G, Nilakantan A. Tracheal stenosis: our experience at a tertiary care centre in India with special regard to cause and management. Indian J Otolaryngol Head Neck Surg 2014:66:51–6. DOI:
Elsayed H, Mostafa AM, Soliman S, et al. First-line tracheal resection and primary anastomosis for postintubation tracheal stenosis. Ann R Coll Surg Engl 2016;98:425–30. DOI:
Özdemir C, Kocatürk CI, Sökücü SN, et al. Endoscopic and surgical treatment of benign tracheal stenosis: a multidisciplinary team approach. Ann Thorac Cardiovasc Surg 2018;24:288–95. DOI:
Kirschbaum A, Teymoortash A, Suárez C, et al. Treatment of large tracheal defects after resection: laryngotracheal release and tracheal replacement. Auris Nasus Larynx 2016;43:602–8. DOI:
Rea F, Callegaro D, Loy M, et al. Benign tracheal and laryngotracheal stenosis: surgical treatment and results. Eur J Cardiothorac Surg 2002;22:352–6. DOI:
Gervasio CF, Averono G, Robiolio L, et al. Tracheal stenosis after tracheostomy for mechanical ventilation in COVID-19 pneumonia - A report of 2 cases from Northern Italy. Am J Case Rep 2020;21:e926731. DOI:
Miwa M, Nakajima M, H Kaszynski R, et al. Two cases of post-intubation laryngotracheal stenosis occurring after severe COVID-19. Intern Med 2021;60:473-7. DOI:

How to Cite

Yankov, Georgi, Magdalena Alexieva, Nikolay Yanev, and Evgeni Mekov. 2023. “Two Cases With Postintubation Tracheal Stenosis After COVID-19 Pneumonia”. Monaldi Archives for Chest Disease 93 (4).