Long term care of patients who have had a laryngectomy

Recurrent foreign body aspiration in the airways in a laryngectomized patient

“…Spraying solution in the stoma is commonly recommended in laryngectomy patients to prevent hypersecretion and crusting in the stoma or cannula. 6 Noticeably, this type of spray cover is identical to other spray mucofluidificant solutions used in Italy.…”

“…So far in the English‐language literature, only 4 cases of single aspirated foreign body (a brush, 2 a button, 3 a piece of wire, 4 and a safety pin 5 ) in patients with a permanent tracheal stoma have been reported, easily recognized, and regarded as exceptional circumstances. Spraying solution in the stoma is commonly recommended in laryngectomy patients to prevent hypersecretion and crusting in the stoma or cannula 6 . Noticeably, this type of spray cover is identical to other spray mucofluidificant solutions used in Italy.…”

Use of cuffed flexometallic tube to control profuse airway bleeding during extraction of tracheal metallic foreign body

“…[ 1 ] This can be easily prevented and requires proper education of both the patient and their relatives regarding the care of tracheostomata. [ 2 ] These patients may present with a history of prior foreign body aspiration, repeated chest infection, or severe respiratory distress. [ 3 ] This was a unique case as patient presented with profuse life threatening bleeding through the tracheostoma and we used cuffed FM tube to control bleeding from inaccessible site in the Tracheo-bronchial tree.…”