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Updated: Jul 4, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
Video-Assisted Transcervical-Transtracheal Repair for Post-Intubation Tracheal Laceration
Chun-Han Shih1, Chien-Wei Huang1, Ting-Shou Chang1,2,3
1Department of Otolaryngology-Head & Neck Surgery, Kaohsiung Veterans General Hospital, Kaohsiung 813414, Taiwan.
Background:
Post-intubation tracheal laceration (PITL) is a rare but life-threatening complication. Early recognition and appropriate management are critical to prevent severe morbidity.
Case Presentation:
A 30-year-old female with class III obesity (BMI: 41.8 kg/m²) presented with progressive subcutaneous emphysema and pneumomediastinum from a 3 cm full-thickness posterior tracheal laceration (Cardillo level IIIa) after orthopaedic surgery under general anaesthesia. On postoperative day 3, she underwent video-assisted transcervical-transtracheal repair via a temporary cervical tracheostomy. Utilizing a rigid endoscope and a protocol-driven, SpO2-guided intermittent apnoeic technique, the laceration was successfully repaired with a 3-0 Monocryl running suture without complications.
Conclusions:
The video-assisted transcervical-transtracheal approach offers a minimally invasive and effective alternative to conventional surgeries for PITL.
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