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Tracheal ring herniation following percutaneous dilatational tracheostomy and its resection under endoscopic control

Published online by Cambridge University Press:  29 June 2007

J. E. Osborne ,
E. Z. Osman ,
P. Cuddihy  and
M. Ranta
J. E. Osborne*
Affiliation:
Department of Otolaryngology, Glan Clwyd Hospital, Bodelwyddan, North Wales, UK.
E. Z. Osman
Affiliation:
Department of Otolaryngology, Glan Clwyd Hospital, Bodelwyddan, North Wales, UK.
P. Cuddihy
Affiliation:
Department of Otolaryngology, Glan Clwyd Hospital, Bodelwyddan, North Wales, UK.
M. Ranta
Affiliation:
Department of Otolaryngology, Glan Clwyd Hospital, Bodelwyddan, North Wales, UK.
*
Address for correspondence: Mr J. E. Osborne, Department of Otolaryngology, Glan Clwyd Hospital, Bodelwyddan LL18 5UJ.
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Abstract

A 76-year-old patient had an elective percutaneous dilatational tracheostomy (PDT) under endoscopic control in the intensive care unit. Twelve days later when her general condition improved, two attempts at decannulation failed due to upper airway obstruction above the tracheostomy site.

Bronchoscopy showed herniation of the anterior tracheal wall above the tracheostomy tube occluding 80 per cent of the lumen. The herniated anterior segment was elevated and partially resected under endoscopic guidance. The patient made a full recovery and was decannulated on the first post-operative day. Pitfalls and possible complications of PDT are discussed.

Keywords

TracheostomyPost-operative complicationsTracheal stenosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 12 , December 1999 , pp. 1116 - 1118
Copyright
Copyright © JLO (1984) Limited 1999

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