Beclomethasone diproprionate inhalation as a treatment for post-intubationtracheal stenosis

A 67-year-old man was intubated for one week and suffered from wheeze and d yspnoea three months after the extubation. Bronchoscopy revealed tracheal s tenosis by a web, which subsequent biopsy showed to be granulation tissue. The stenosis was removed by laser therapy but the stenosis soon returned. A s cardiac function was poor, beclomethasone diproprionate (BDP) inhalation therapy (1200 mu g daily) was started and proved successful. Discontinuatio n of inhalation therapy resulted in restenosis. Steroid inhalation therapy may be able to control post-intubation tracheal stenosis caused by granulat ion tissue.