<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412022000100010</article-id>
<article-id pub-id-type="doi">10.24245/gom.v90i1.5823</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento de la estenosis traqueal sintomática durante el embarazo. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Management of symptomatic tracheal stenosis during pregnancy. Report of a case.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Marenco,]]></surname>
<given-names><![CDATA[Mario Enmanuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Pacheco,]]></surname>
<given-names><![CDATA[José Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nares-Torices,]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Montenegro,]]></surname>
<given-names><![CDATA[María Sonia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moisés-Hernández,]]></surname>
<given-names><![CDATA[Jorge Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Albores]]></surname>
<given-names><![CDATA[Edwin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Departamento de Terapia Intensiva ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Departamento de Medicina Materno Fetal ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de México Departamento de Otorrinolaringología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>1</numero>
<fpage>103</fpage>
<lpage>106</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412022000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412022000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412022000100010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: La estenosis traqueal es una complicación de la ventilación mecánica prolongada. Existen pocas publicaciones que expongan la atención multidisciplinaria de pacientes embarazadas con estenosis traqueal.  OBJETIVO: Describir el caso de una paciente con estenosis traqueal secundaria a intubación prolongada durante el embarazo.  CASO CLÍNICO: Paciente de 25 años, con 38.2 semanas de embarazo; acudió a Urgencias debido a un cuadro de disnea y estridor en la vía aérea superior. En la exploración física se encontraron: estridor con datos de dificultad respiratoria, taquicardia y saturación de oxígeno del 90%. Se le administró oxígeno por las puntas nasales a razón de 3 litros por minuto. El ultrasonido de la vía aérea demostró: estenosis traqueal del 60% de la luz. La tomografía reportó: estenosis traqueal del 54% de la luz, a la altura de T1-T2. La traqueostomía no derivó en complicaciones maternas o fetales. El embarazo trascurrió sin contratiempos hasta la finalización.  CONCLUSIONES: La estenosis traqueal puede ser una complicación de la ventilación mecánica prolongada. La corrección temporal o definitiva puede efectuarse durante el embarazo, con mínima repercusión para la madre y el feto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Tracheal stenosis is a complication of prolonged mechanical ventilation. There are few publications describing the multidisciplinary care of pregnant patients with tracheal stenosis.  OBJECTIVE: To describe the case of a patient with tracheal stenosis secondary to prolonged intubation during pregnancy.  CLINICAL CASE:  A 25-year-old patient, 38.2 weeks pregnant, came to the emergency department due to dyspnea and stridor in the upper airway. Physical examination revealed stridor with respiratory distress, tachycardia and oxygen saturation of 90%. Oxygen was administered through nasal prongs at a rate of 3 liters per minute. Ultrasound of the airway showed: tracheal stenosis of 60% of the lumen. CT scan reported: tracheal stenosis of 54% of the lumen, at T1-T2. The tracheostomy did not result in maternal or fetal complications. Pregnancy proceeded smoothly to completion.  CONCLUSIONS: Tracheal stenosis can be a complication of prolonged mechanical ventilation. Temporary or definitive correction can be made during pregnancy, with minimal impact on the mother and fetus.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Estenosis traqueal]]></kwd>
<kwd lng="es"><![CDATA[ventilación mecánica]]></kwd>
<kwd lng="es"><![CDATA[pacientes embarazadas]]></kwd>
<kwd lng="es"><![CDATA[saturación de oxígeno]]></kwd>
<kwd lng="es"><![CDATA[síndrome de insuficiencia respiratoria]]></kwd>
<kwd lng="es"><![CDATA[intubación]]></kwd>
<kwd lng="en"><![CDATA[Tracheal stenosis]]></kwd>
<kwd lng="en"><![CDATA[Mechanical ventilation]]></kwd>
<kwd lng="en"><![CDATA[Pregnant patients]]></kwd>
<kwd lng="en"><![CDATA[Oxygen saturation]]></kwd>
<kwd lng="en"><![CDATA[Respiratory distress syndrome]]></kwd>
<kwd lng="en"><![CDATA[Intubation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Macewen]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical observations on the introduction of tracheal tubes by the mouth, instead of performing tracheostomy and laryngectomy]]></article-title>
<source><![CDATA[Br Med J]]></source>
<year>1880</year>
<volume>2</volume>
<page-range>163-5</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Papla]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Dyduch]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Frasik]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Olechnowicz]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Post-intubation tracheal stenosis-morphological-clinical investigations]]></article-title>
<source><![CDATA[Pol J Pathol]]></source>
<year>2003</year>
<volume>54</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>261-6</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Grillo]]></surname>
<given-names><![CDATA[HC.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The evolution of tracheal injury due to ventilatory assistance through cuffed tubes: a pathologic study]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1969</year>
<volume>169</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>334-48</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Herrington]]></surname>
<given-names><![CDATA[HC]]></given-names>
</name>
<name>
<surname><![CDATA[Weber]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Andersen]]></surname>
<given-names><![CDATA[PE.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Modern management of laryngotracheal stenosis]]></article-title>
<source><![CDATA[Laryngoscope]]></source>
<year>2006</year>
<volume>116</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1553-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grillo]]></surname>
<given-names><![CDATA[HC]]></given-names>
</name>
<name>
<surname><![CDATA[Donahue]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Mathisen]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Wain]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Wright]]></surname>
<given-names><![CDATA[CD.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Postintubation tracheal stenosis. Treatment and results]]></article-title>
<source><![CDATA[J Thorac Cardiovasc Surg]]></source>
<year>1995</year>
<volume>109</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>486-92</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zias]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Chroneou]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Tabba]]></surname>
<given-names><![CDATA[MK]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzalez]]></surname>
<given-names><![CDATA[AV]]></given-names>
</name>
<name>
<surname><![CDATA[Gray]]></surname>
<given-names><![CDATA[AW]]></given-names>
</name>
<name>
<surname><![CDATA[Lamb]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Riker]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
<name>
<surname><![CDATA[Beamis]]></surname>
<given-names><![CDATA[JF Jr.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Post tracheostomy and post intubation tracheal stenosis: report of 31 cases and review of the literature]]></article-title>
<source><![CDATA[BMC Pulm Med]]></source>
<year>2008</year>
<volume>8</volume>
<numero>18</numero>
<issue>18</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Naqvi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Muniappan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Modest]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Mathisen]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Madapu]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bryant]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kaimal]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tracheal Resection for Symptomatic Tracheal Stenosis During Pregnancy]]></article-title>
<source><![CDATA[Ann Thorac Surg]]></source>
<year>2016</year>
<volume>101</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1589-91</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Heichel]]></surname>
<given-names><![CDATA[PD]]></given-names>
</name>
<name>
<surname><![CDATA[Jacobsen]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Llamas]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
<name>
<surname><![CDATA[Simpson]]></surname>
<given-names><![CDATA[CB]]></given-names>
</name>
<name>
<surname><![CDATA[Lott]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
<name>
<surname><![CDATA[Verma]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Dominguez]]></surname>
<given-names><![CDATA[LM.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Jet ventilation in the pregnant patient with airway stenosis: surgical safety and outcomes]]></article-title>
<source><![CDATA[Ann Otol Rhinol Laryngol]]></source>
<year>2020</year>
<volume>129</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>489-93</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
