Complications of tracheotomy tube placement can be categorized as intraoperati ve, early postoperative, and late postoperative. Among the late complications is the development ofgranulation tissue. We describe one ofthe fe w reported cases ofgranulation tissue thatfo rmed within a fe nestrated tracheotomy tube. In this case, the granulation tissue grew through the fe nestrations, obliterated the tracheal lumen, and tethered the tube to the trachea itself. As a result, the pat ient required emerge ncy treatment to restore airway pat ency.
Upper digestive tract obstruction can occur after ingestion of various types of fo reign bodies. However; to the best ofour knowledge, no case ofa near-total obstruction caused by an irreversible hydrocolloid has heretof ore been reported in the literature. We present ju st such a case, and we discuss our pref erred method ofremovin g fore ign bodies from the cervical esophagus.
Cervical emphysema and pneumomediastinum are rare conditions, especially outside the setting of blunt trauma. Here we describe a case of a 31-year-old male with a history of cocaine use presenting with cough, odynophagia, neck pain, and neck swelling after forcefully blowing his nose to relieve cocaine-associated congestion and obstruction. Physical exam demonstrates crepitus along the neck and clavicular regions. Imaging shows cervical emphysema, pneumomediastinum, and a nasopharyngeal fistula. We discuss presentation, causes, diagnosis, and management of cervical emphysema and pneumomediastinum.
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