Published in:
Open Access 01-12-2023 | Tracheostomy | Case Report
A novel case of tracheal deviation secondary to percutaneous tracheostomy
Published in: General Thoracic and Cardiovascular Surgery Cases | Issue 1/2023
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Background
This is a novel case of iatrogenic airway stenosis and tracheal deviation in a patient with previous percutaneous dilational tracheostomy.
Case presentation
This 65-year-old male presented with a short segment of combined flap-valve stenosis and tracheomalacia, with right tracheal deviation distal to the stenosis. Clinical staging of the stenosis corresponded to a Cotton-Meyer grade III and McCaffrey stage III. Tracheal resection and primary reconstruction was performed by thoracic surgery and otolaryngology.
Conclusion
No cases have reported both stenosis and tracheal deviation as a result of iatrogenic intervention. The nature of this injury highlights a need for rigour in approaching tracheostomy.