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Right arrow Trachea and bronchi

Ann Thorac Surg 2006;82:1897-1898
© 2006 The Society of Thoracic Surgeons

Case Reports

Inherent Problems of Tracheo-Bronchial Stenting in Patients With Tracheostomy

Joerg Lindenmann, MD*, Christian Porubsky, MD, Veronika Matzi, MD, Alfred Maier, MD, Freyja Maria Smolle-Juettner, MD

Division of Thoracic and Hyperbaric Surgery, Department of Surgery, University Medical School, Graz, Austria

Accepted for publication March 13, 2006.

* Address correspondence to Dr Lindenmann, Department of Surgery, Division of Thoracic and Hyperbaric Surgery, University Medical School Graz, Auenbruggerplatz 29, Graz, 8036 Austria. (Email: jo.lindenmann{at}meduni-graz.at).

In cases of permanent tracheostomy after laryngectomy, tracheo-bronchial stenting may cause serious respiratory problems due to the absence of airway humidification and the inability to cough forcefully. We report 2 patients with permanent tracheostomy who underwent stenting and developed recurrent episodes of asphyxia due to stent obstruction by dried mucus. The indication for stenting of the airways must be established with great care in patients with permanent tracheostomy.






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