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Fractured tracheostomy tube as foreign body bronchus: our experience with three cases

Zareen Aliiana Lynrah1, Shilpa Goyal, Amit Goyal

  • 1Department of Otorhinolaryngology and Head & Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Mawdiangdiang, Shillong 793018, Meghalaya, India.

International Journal of Pediatric Otorhinolaryngology
|August 28, 2012
PubMed

Insights

Pediatric tracheostomy tube fractures are rare but life-threatening emergencies. Prompt identification and intervention, such as bronchoscopy, are crucial for successful management of fractured tracheostomy tubes in children.

Area of Science:

  • Pediatric Otolaryngology
  • Emergency Medicine
  • Respiratory Care

Background:

  • Tracheostomy tubes are vital for managing pediatric airway issues.
  • Fracture and aspiration of these tubes present an acute emergency.

Observation:

  • Three pediatric cases of tracheostomy tube fracture and tracheal aspiration were analyzed.
  • Presentations and treatment outcomes varied significantly among patients.

Findings:

  • Successful management was achieved via bronchoscopy in one case.
  • One patient succumbed to asphyxia prior to intervention.
  • A complex case with supratubal tracheal stenosis was successfully managed with tracheoscopy.

Implications:

  • Rapid identification is critical for managing this rare, life-threatening complication.
  • Tracheal stenosis above the tracheostomy site complicates management and limits options.
Abstract

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