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Peer-reviewedCC BY 4.0Cureus

Anesthesia for Emergency Rigid Bronchoscopy in a Patient With Profound Hearing-Speech Impairment and Near-Total Tracheal Stenosis: A Case Report

  • Xiancun Liu1
  • Xuejiao Chen1
  • Ximing Li1
  1. 1Anesthesiology, Linyi People's Hospital, Shandong Second Medical University, Linyi, CHN
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Abstract

Primary tracheal squamous cell carcinoma producing near‑total fixed tracheal stenosis constitutes a catastrophic difficult airway scenario for emergency rigid bronchoscopy. Deaf‑mute patients face added risks of agitation, tumor hemorrhage, and airway collapse due to complete loss of communication. We implemented a pragmatic two‑stage sedation‑ventilation strategy using spontaneous breath preservation, stratified topical airway anesthesia, and tailored high‑frequency jet ventilation. This case shows that multimodal anesthesia allows safe rigid bronchoscopy in this high‑risk group. Balancing spontaneous breath preservation, topical anesthesia, and stepwise sedation is critical to avert life‑threatening airway complications. This approach yields favorable perioperative outcomes for comparable central airway pathology.

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Cite

BibTeXRIS
BibTeX
@article{liu2026anesthesia,
  title = {{Anesthesia for Emergency Rigid Bronchoscopy in a Patient With Profound Hearing-Speech Impairment and Near-Total Tracheal Stenosis: A Case Report}},
  author = {Xiancun Liu and Xuejiao Chen and Ximing Li},
  journal = {Cureus},
  year = {2026},
  month = oct,
  doi = {10.7759/cureus.117460},
  url = {https://doi.org/10.7759/cureus.117460},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Anesthesia for Emergency Rigid Bronchoscopy in a Patient With Profound Hearing-Speech Impairment and Near-Total Tracheal Stenosis: A Case Report
AU  - Xiancun Liu
AU  - Xuejiao Chen
AU  - Ximing Li
PY  - 2026
DA  - 2026/10/05
JO  - Cureus
DO  - 10.7759/cureus.117460
UR  - https://doi.org/10.7759/cureus.117460
AB  - Primary tracheal squamous cell carcinoma producing near‑total fixed tracheal stenosis constitutes a catastrophic difficult airway scenario for emergency rigid bronchoscopy. Deaf‑mute patients face added risks of agitation, tumor hemorrhage, and airway collapse due to complete loss of communication. We implemented a pragmatic two‑stage sedation‑ventilation strategy using spontaneous breath preservation, stratified topical airway anesthesia, and tailored high‑frequency jet ventilation. This case shows that multimodal anesthesia allows safe rigid bronchoscopy in this high‑risk group. Balancing spontaneous breath preservation, topical anesthesia, and stepwise sedation is critical to avert life‑threatening airway complications. This approach yields favorable perioperative outcomes for comparable central airway pathology.
SN  - 2168-8184
ER  -