Giant tracheocele following primary tracheostomy closure in a 3 year old child

Briganti, Vito; Tavormina, Paolo; Testa, Alberto; Oriolo, Lucia

doi:10.1016/j.icvts.2004.02.015

Cited by 10 publications

(7 citation statements)

References 5 publications

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“…5 The acquired form can occur secondary to blunt trauma, chronic bronchopulmonary disease, intubation, instrumentation or, in rare cases, tracheostomy, surgical tracheostomy closure, or tracheoesophageal fistula excision. [5][6][7][8] In our patient, the presence of the single, large, airfilled sac with a possible tracheal defect pointed toward the acquired form, but we could not completely rule Tracheocele commonly occurs on the right side. 5 It usually presents as a slowly progressive, large, air-filled swelling in the neck; it may not produce any other symptoms.…”

Section: Discussionmentioning

confidence: 55%

Giant Tracheocele with Multiple Congenital Anomalies

Madana

Yolmo²,

Saxena

et al. 2012

Ear Nose Throat J

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Tracheocele-an outpouching of tracheal mucous membrane-is an uncommon entity. It can occur as a congenital or acquired form. The congenital entity remains mostly dormant until adulthood, and then it typically presents as a herniation with multiple air-filled sacs. The acquired form develops as the result of blunt trauma, recurrent pulmonary infection, intubation, instrumentation, or surgery, and it typically presents as a single paratracheal cavity. We present an extremely rare case of a tracheocele associated with multiple congenital anomalies involving the face, limbs, and heart.

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Section: Discussionmentioning

confidence: 55%

Giant Tracheocele with Multiple Congenital Anomalies

Madana

Yolmo²,

Saxena

et al. 2012

Ear Nose Throat J

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“…Elevated pressure in the tracheal lumen can be caused by playing wind instruments, glassblowing, positive pressure ventilation and chronic cough. Iatrogenic tracheocele occurring after surgery has also been reported [6,7]. One case of voluminous tracheocele has been described in association with Mounier-Kuhn syndrome [8].…”

Section: Discussionmentioning

confidence: 98%

Siblings with Acquired Tracheocele: Possible Hereditary Etiopathogenesis?

Botti

Maccarrone

Bernardelli

et al. 2020

Head and Neck Pathol

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Tracheocele is a herniation of the tracheal mucosa through a defect in the tracheal wall. Familiar and/or genetical factors have never been taken into consideration in the etiopathogenesis of acquired tracheocele. Acquired tracheocele occurred in a brother and a sister from India. CT scan of the neck showed an air cyst next to the right tracheal wall. They underwent surgical excision through a transverse cervical incision. Histopathology of the lesion revealed a fibrous sac lined by a pseudostratified columnar respiratory epithelium in both patients. They had no recurrence of tracheocele at 12 months follow up. Genetic counseling did not evidence any significative associated abnormalities. No previous cases of familiar acquired tracheocele have been reported in the literature. Given the rarity of the lesion occurring in more than one member of a family, hereditary factors could be supposed as contributing factors in the etiopathogenesis of acquired tracheocele.

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“…2,[5][6][7][8][9] It has been reported that primary closure with excision of the fistula tract down to the level of the trachea may result in tracheocele, pneumopericardium, pneumothorax, and pneumomediastinum. 1,2,[10][11][12] Closure with a turnover flap of skin and fibroadipose tissue means that the defect in the tracheal lumen is covered by the outer surface of the cutaneous flap. This minimizes the suturing required, and results in fewer problems with insufficiency of the repair.…”

Section: Discussionmentioning

confidence: 99%

Closure of a tracheocutaneous fistula by two hinged turnover skin flaps and a muscle flap: A case report

Tatekawa

Yamanaka

Hasegawa

2013

International Journal of Surgery Case Reports

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a b s t r a c t INTRODUCTION:Tracheocutaneous fistula is a complication of tracheostomy. Tracheocutaneous fistulectomy followed by primary closure carries a high possibility of complications. PRESENTATION OF CASE: An 11-year-old boy underwent surgery to repair a tracheocutaneous fistula, using skin and muscle flaps. A vertical incision was made around the fistula and 3 skin flaps were prepared: 2 hinge flaps, and 1 to cover the skin defect (advanced flap). The 2 hinged turnover flaps were invaginated by multiple layered sutures, and a strap muscle flap was placed over the resulting tracheal closure. An advanced skin flap was used to cover the area of the previous defect. The patient was extubated immediately after surgery. He was discharged on the sixth postoperative day without tracheal leakage or subcutaneous emphysema. The patient is currently doing well, with no respiratory symptoms and no recurrence at the postoperative 5 months. DISCUSSION: Our technique is minimally invasive and has a low risk of lumen stenosis, other complications, or recurrence. CONCLUSION: This technique demonstrates the multiple-layered closure of a tracheocutaneous fistula, using skin flaps and a muscle flap.

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Giant tracheocele following primary tracheostomy closure in a 3 year old child

Cited by 10 publications

References 5 publications

Giant Tracheocele with Multiple Congenital Anomalies

Giant Tracheocele with Multiple Congenital Anomalies

Siblings with Acquired Tracheocele: Possible Hereditary Etiopathogenesis?

Closure of a tracheocutaneous fistula by two hinged turnover skin flaps and a muscle flap: A case report

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