[Pathological changes in the trachea after tracheostomy in patients with respiratory failure]

A variety of pathological changes in trachea were observed in 7 cases with tracheostomy. The common lesions were inflammation, necrosis and ulcer, and squamous metaplasia or granuloma were seen in those with tracheal tube for longer time. The dilatation of trachea was manifested by dislocating of the tube and not sealing of the cuff. Cuff-radiography could show the site and degree of the dilatation of trachea. In order to alleviate the lesions, the tubes made of plastic or silica gel with lower pressure cuff were recommended. The prevention of local infection and improvement of nutritional status were also important.