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Cervical osteomyelitis after percutaneous transtracheal ventilation and tracheotomy
1Otolaryngology/Head and Neck Surgery, University of Washington School of Medicine, Seattle, USA.
Background:
Percutaneous transtracheal ventilation has proven useful in emergent airway management.
Methods:
A report of a case is presented. Results. A 42-year-old woman who developed laryngospasm required emergency airway intervention She developed massive subcutaneous emphysema and required emergent cricothyroidotomy which was immediately converted to a tracheotomy. Although she was quickly decanulated, she developed late cervical osteomyelitis which resolved with intravenous antibiotic therapy.
Conclusions:
Cervical osteomyelitis has not been previously reported as a complication of percutaneous transtracheal ventilation or tracheotomy Contamination of the deep neck spaces facilitated by pressure dissection of the fascial planes may have led to this complication.