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Pediatric tracheostomy surveillance

James A Leonard1, Ishwarya S Mamidi2, Pamela Mudd3

  • 1Deparment of Otolaryngology, MedStar Georgetown University Hospital, Washington, District of Columbia, USA.

Pediatric Pulmonology
|June 29, 2021
PubMed

Insights

A rare airway mass caused severe respiratory distress in a ventilator-dependent infant with bronchopulmonary dysplasia. Surgical excision successfully relieved the obstruction, leading to the infant

Area of Science:

  • Pediatric Pulmonology
  • Airway Management
  • Neonatal Critical Care

Background:

  • A 14-month-old male infant, born prematurely at 28 weeks and dependent on a ventilator, had a history of bronchopulmonary dysplasia and tracheostomy.
  • The patient experienced worsening respiratory distress at 9 months of age after being lost to follow-up.

Observation:

  • Direct visualization of the airway revealed a mass obstructing the glottic inlet.
  • The mass appeared solid, nonvascular, and originated from a suprastomal site, with no attachments to surrounding mucosal tissues.

Findings:

  • Surgical excision of the suprastomal mass was performed.
  • The procedure effectively relieved the airway obstruction.

Implications:

  • This case highlights a rare cause of airway obstruction in a high-risk pediatric patient.
  • Successful surgical intervention led to positive patient outcomes and improved respiratory status.

Keywords:
airwaygranulomaobstructionpediatrictracheostomy

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