LAUSR

A 40-year-old man with multiple comorbidities presented to the emergency department with noisy breathing. The patient had prior history of a week-long intubation for respiratory distress. According to the patient, noisy breathing was present since discharge. Upon examination, biphasic stridor was audible. He was not tachypneic or tachycardic. Flexible nasopharyngolaryngoscopy revealed normal supraglottic structures with mobile vocal cords with stenosis noted beyond subglottic region. Tracheostomy for laryngotracheal stenosis was performed under local anesthesia. Flexible bronchoscopy (FB) via tracheostomy tube revealed blind-end opening over the right side of trachea above carina [Figure 1].