Fracture Outer Metallic Tracheostomy Tube as an Airway Foreign Body

Mahattanasakul, Patnarin; Kaewkongka, Tonphong; Sriprasart, Thitiwat; Kerekhanjanarong, Virachai

doi:10.1007/s12070-019-01744-5

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…Educating the patient about maintenance and regular checking can possibly prevent this complication. 23 Currently, there is a common use of metallic tracheostomy tubes for extended tracheostomy, and these relate to ease of use and cleaning, they are formed by the following different metallic products: silver, zinc, nickel, copper, and, stainless steel. 24,25 to those made by stainless steel.…”

Section: Nature Of Tracheostomy Tube and Fractured Zonementioning

confidence: 99%

“…24,25 to those made by stainless steel. 17,19,23,25,26 The analysis of the literature in the Table 1 found that 34.48% of patients were carriers of a plastic tracheostomy tube (Romson polyvinyl chloride) and the rest of 65.52% were carriers of a metallic tube. The common fractured zone was the junction between the neck plate and the tube, in more than 86% of patients.…”

Section: Nature Of Tracheostomy Tube and Fractured Zonementioning

confidence: 99%

See 1 more Smart Citation

Aspiration of a fractured tracheostomy tube, a rare complication of tracheotomy: the factors involved in this incident and literature review

Kajai

Oulghoul²,

Rochdi³

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Tracheostomy is executed routinely for several indications. It is a safe and life-saving procedure. In some cases, the tracheostomy tube has to be maintained for a long duration. We report a rare case of aspiration of a fractured tracheostomy tube. In the light of the literature, we reported the various factors leading to complications of tracheotomy. A 5-year-old boy, presenting to the emergency department for aspiration of a fractured tracheostomy tube accidentally during a cleaning process by his mother. On clinical examination, the patient was slightly symptomatic. A flexible bronchoscopy was made which objectified the presence of the cannula in the trachea, an additional chest X-ray was taken, which revealed the aspirated tracheostomy tube in the trachea and right main bronchus. Extraction was done by rigid bronchoscopy under general anesthesia. The postoperative course of the patient remain uneventful. In order to reduce the potentially fatal complications of the tracheotomy, it is necessary to insist on a regular medical follow-up.</p>

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Section: Nature Of Tracheostomy Tube and Fractured Zonementioning

confidence: 99%

Section: Nature Of Tracheostomy Tube and Fractured Zonementioning

confidence: 99%

Aspiration of a fractured tracheostomy tube, a rare complication of tracheotomy: the factors involved in this incident and literature review

Kajai

Oulghoul²,

Rochdi³

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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Fractured Metallic Tracheostomy Tube: A Rare Presentation of Bronchial Foreign Body

Afiadigwe,

Umeh,

Obasikene

et al. 2024

Nigerian Journal of Clinical Practice

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Background: Tracheostomy is an important life-saving surgical procedure that could be used to secure the lower airway. It can however serve as a source of airway compromise when fragments from it are deposited. This condition must be diagnosed early enough, and appropriate intervention should be done to forestall potential morbidity and mortality. Case Report: A 56-year-old tracheostomized patient presented to the accident and emergency department with a 4-hour history of sudden onset choking cough and labored breathing. The shaft of his tracheostomy tube (TT) was fractured and subsequently aspirated while he was attempting to remove and clean the inner tube that morning. He has used the TT for about 6 years and lost to follow-up clinic visits. The chest radiograph showed the metallic foreign body lodged within the trachea. He had an emergency rigid bronchoscopy via the tracheostomy stoma, and the object was retrieved. All respiratory symptoms subsequently resolved, and a check radiograph showed normal findings. Conclusion: Tracheostomy tube fracture and aspiration should be ruled out in every tracheostomized patient with sudden onset acute respiratory symptoms. Otolaryngologists must always emphasize the need for proper handling of TT, regular follow-up, and tube replacement when due.

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Foreign Body Misdiagnosed as Mucus Plugging After Percutaneous Tracheostomy

Amien,

Harky,

Hill

et al. 2023

Cureus

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We report a case of a 59-year-old male who presented with a persistent cough for a year after being discharged from critical care following a subarachnoid haemorrhage. As part of his initial critical care management and in order to allow full neurological assessment, the patient required a period of prolonged mechanical ventilation, which necessitated a percutaneous tracheostomy. Following recovery and subsequent discharge, the patient presented on multiple occasions with cough, undergoing serial computed tomography (CT) scans which reported mucus plugging as a possible cause of the cough. As his symptoms continued to worsen, a flexible bronchoscopy was carried out, which identified a foreign body in the trachea. This object was later recognised as a retained part of the guiding catheter, part of the percutaneous tracheostomy tube dilator. After the object was retrieved, the patient reported a complete resolution of symptoms. Percutaneous tracheostomy is a common procedure within critical care units, and early complications such as bleeding or airway obstruction are typically recognised immediately after insertion. This report documents a late complication caused by the retention of a foreign object from insertion, which was misdiagnosed on serial CT scans, leading to persistent cough over a period of months.

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Fracture Outer Metallic Tracheostomy Tube as an Airway Foreign Body

Cited by 3 publications

References 16 publications

Aspiration of a fractured tracheostomy tube, a rare complication of tracheotomy: the factors involved in this incident and literature review

Aspiration of a fractured tracheostomy tube, a rare complication of tracheotomy: the factors involved in this incident and literature review

Fractured Metallic Tracheostomy Tube: A Rare Presentation of Bronchial Foreign Body

Foreign Body Misdiagnosed as Mucus Plugging After Percutaneous Tracheostomy

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