[Inhalation anesthesia during spontaneous ventilation in a patient with a tracheolaryngeal transplant requiring debridement of fibrous tissue obstructing the lumen]. / Anestesia inhalatoria con preservación de la ventilación espontánea en un paciente trasplantado de laringe y tráquea sometido a desbridamiento intraluminal.

Graft stenosis from fibrous granulation tissue is not an uncommon problem in recipients of a transplanted trachea and larynx. We describe the case of a man with a transplanted trachea who was seen for respiratory difficulty and stridor secondary to stenosis. Examination through a rigid bronchoscope and surgical debridement were both performed under anesthesia with sevoflurane alone while the man breathed spontaneously. The outcome of treatment with sequential debridements of fibrotic tissue and autologous stem cell injection was satisfactory and the patient was discharged.