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Images in Clinical Medicine
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Volume 335:1879-1880 December 19, 1996 Number 25
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Midtracheal Stricture

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A 47-year-old woman presented with dyspnea on exertion and a history of having awoken at night with a sensation of choking twice in the previous week. She had been discharged from the hospital three weeks earlier, after an episode of severe adult respiratory distress syndrome following blunt chest trauma. She had required mechanical ventilation for nearly three months with an endotracheal tube and tracheostomy during that hospitalization. The tracheostomy was performed after 10 days of endotracheal intubation.

On examination the patient had stridorous breath sounds; flexible laryngoscopy showed a normal pharynx. A flow-volume loop demonstrated marked limitation of inspiratory and . . . [Full Text of this Article]

 

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