Fractured tracheostomy tube as foreign body bronchus: Our experience with three cases
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- 作者：Zareen Aliiana Lynrah ; Shilpa Goyal ; Amit Goyal ; Nari Mary Lyngdoh ; Neizekhotuo Brian Shunyu ; Binayak Baruah ; Rashna Dass ; Mohammad Yunus ; Prithwis Bhattacharyya
- 关键词：Tracheostomy tube ; Foreign body bronchus ; Emergency airway management
- 刊名：International Journal of Pediatric Otorhinolaryngology
- 出版年：2012
- 出版时间：November, 2012
- 年：2012
- 卷：76
- 期：11
- 页码：1691-1695
- 全文大小：699 K
文摘
Objective
Tracheostomy tubes are extensively used in paediatric age group for airway issues. Their fracture and lodgement into trachea is an acute emergency requiring urgent intervention.Cases
We report three such paediatric cases having tracheostomy tube fracture and aspiration into trachea with different presentations and treatment outcomes.
Results
One patient was successfully managed with bronchoscopy and fractured tube removal. One patient succumbed to asphyxia before any intervention. The third patient was having supratubal tracheal stenosis making things more dangerous, but was managed successfully by tracheoscopy through tracheostomy opening with removal of fractured tube.
Conclusion
Immediate identification is the key to successful management of this rare but life threatening situation. In the presence of tracheal stenosis above the tracheostomy opening, situation becomes more dangerous with very limited options for management.