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Updated: Jun 8, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
A novel case of tracheal deviation secondary to percutaneous tracheostomy
Lily Wang1,2, Justin Lu3, Michael A Ko4
1Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
Background:
This is a novel case of iatrogenic airway stenosis and tracheal deviation in a patient with previous percutaneous dilational tracheostomy.
Case Presentation:
This 65-year-old male presented with a short segment of combined flap-valve stenosis and tracheomalacia, with right tracheal deviation distal to the stenosis. Clinical staging of the stenosis corresponded to a Cotton-Meyer grade III and McCaffrey stage III. Tracheal resection and primary reconstruction was performed by thoracic surgery and otolaryngology.
Conclusion:
No cases have reported both stenosis and tracheal deviation as a result of iatrogenic intervention. The nature of this injury highlights a need for rigour in approaching tracheostomy.
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