A 26-year-old female presented with gradually increasing respiratory distress since 4 days. She has history of hospitalisation and mechanical ventilation with orotracheal intubation for 2 weeks. Now she is diagnosed as having severe tracheal stenosis. What would be the next line of management?: (A) Laser excision and stent insertion, (B) Steroids, (C) Tracheal dilation, (D) Tracheal resection and end-to-end anastomosis
Answer is B. Prolonged intubation implies tracheal stenosis. Line of treatment will depend on the site of stenosis and its extent. Since the patient developed respiratory distress only 4 days back, it implies inflammation superimposed on stenosed area. Steroids administration would be the best option.