Abstract

Stridor is commonly seen post decannulation in a tracheostomised patient Usually it occurs due to airway obstruction secondary to tracheal stenosis granulation tissue tracheomalacia We report a rare case of stridor due to dynamic pharyngeal collapse after decannulation A 68- year - old male who presented with inferior wall MI and Complete Heart Block had to be put on a mechanical ventilator for hemodynamic instability and subsequently tracheostomised Post decannulation he developed stridor and breathlessness CT scan of neck revealed a supraglottic narrowing which on bronchoscopy showed a dynamic collapsibility of supraglottic area This dynamic collapse was treated with non invasive positive pressure ventilation