{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:10:08Z","timestamp":1756361408066,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,9,11]]},"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Acquired supracarinal tracheal stenosis can be defined as postintubation tracheal stenosis of the lower third of the trachea that cannot be bypassed by standard or adjustable flange tracheostomy tubes. Owing to difficulty of access in the deep trachea, the transoral laser-assisted endoscopic surgical management of such stenoses is a challenge both for the surgeon and the anaesthetist alike. It requires good rapport and efficient cooperation between the teams to ensure appropriate oxygenation and carbon-dioxide washout while providing intermittent apnoeic phases to the surgeon for clear visualisation of the target area and use of Diode laser which is otherwise hazardous in an oxygen\/nitrous oxide rich environment.<\/jats:p>\n               <jats:p>From our tertiary care referral centre with strong work load for such pathologies, we report one such case of acquired tracheal stenosis successfully managed with transoral Diode laser-assisted surgery.<\/jats:p>","DOI":"10.1136\/bcr-2024-260397","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T13:50:50Z","timestamp":1727185850000},"page":"e260397","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Laser-assisted endoscopic transoral surgery in apnoeic phase\u2014management strategy for acquired supracarinal tracheal stenosis"],"prefix":"10.1136","volume":"17","author":[{"given":"Mavra","family":"Sarwar","sequence":"first","affiliation":[{"name":"ENT, KRL Hospital, Islamabad, Islamabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahra","family":"Sarwar","sequence":"additional","affiliation":[{"name":"ENT, KRL Hospital, Islamabad, Islamabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Sarwar","family":"Khan","sequence":"additional","affiliation":[{"name":"ENT, KRL Hospital, Islamabad, Islamabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saifullah","family":"Khan","sequence":"additional","affiliation":[{"name":"ENT, KRL Hospital, Islamabad, Islamabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,9,24]]},"reference":[{"key":"2025082722342306000_17.9.e260397.1","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.pulmoe.2019.12.004","article-title":"The role of interventional bronchoscopy in the management of post-intubation tracheal stenosis: A 20-year experience","volume":"27","author":"Freitas","year":"2021","journal-title":"Pulmonol"},{"key":"2025082722342306000_17.9.e260397.2","doi-asserted-by":"crossref","first-page":"995","DOI":"10.21037\/jtd-21-1721","article-title":"Tracheal stenosis as a complication of prolonged intubation in coronavirus disease 2019 (COVID-19) patients: a Peruvian cohort","volume":"14","author":"Palacios","year":"2022","journal-title":"J Thorac Dis"},{"key":"2025082722342306000_17.9.e260397.3","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s12070-014-0808-1","article-title":"Management of Post-traumatic Laryngotracheal Stenosis: Our Experience","volume":"67","author":"Kandakure","year":"2015","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2025082722342306000_17.9.e260397.4","article-title":"Achieving Successful Extubation and Cost-Effective Recovery Following Anesthetic Airway Management in Supracarinal Tracheal Reconstruction Surgeries: A Retrospective Analysis","volume":"15","author":"Mulakaluri","year":"2023","journal-title":"Cureus"},{"key":"2025082722342306000_17.9.e260397.5","doi-asserted-by":"crossref","first-page":"3354","DOI":"10.21037\/apm-21-431","article-title":"Anesthesia airway management for tracheal resection and reconstruction: a single-center case series","volume":"10","author":"Liu","year":"2021","journal-title":"Ann Palliat Med"},{"doi-asserted-by":"publisher","key":"2025082722342306000_17.9.e260397.6","DOI":"10.1186\/s12890-022-01821-6"},{"doi-asserted-by":"crossref","unstructured":"Allografts CT . Immunomodulation of the Composite Tissue Allograft. Comp Tiss Allograft 2006;185. doi:10.1142\/9781860948107_0008","key":"2025082722342306000_17.9.e260397.7","DOI":"10.1142\/9781860948107_0008"},{"key":"2025082722342306000_17.9.e260397.8","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/s43163-022-00211-3","article-title":"Management of intrathoracic tracheal stenosis: a challenge","volume":"38","author":"Sathe","year":"2022","journal-title":"Egypt J Otolaryngol"},{"key":"2025082722342306000_17.9.e260397.9","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/s12871-022-01610-y","article-title":"Apnoeic oxygenation with high-flow oxygen for tracheal resection and reconstruction surgery","volume":"22","author":"Ly","year":"2022","journal-title":"BMC Anesth"},{"key":"2025082722342306000_17.9.e260397.10","doi-asserted-by":"crossref","first-page":"288","DOI":"10.5761\/atcs.oa.18-00073","article-title":"Endoscopic and Surgical Treatment of Benign Tracheal Stenosis: A Multidisciplinary Team Approach","volume":"24","author":"\u00d6zdemir","year":"2018","journal-title":"Ann Thorac Cardiovasc Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-260397","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:34:30Z","timestamp":1756359270000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-260397"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":10,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2024,9,24]]},"published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1136\/bcr-2024-260397"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-260397","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,9]]}}}