Fractured metallic tracheostomy tube in a child: A case report and review of the literature

被引：19

作者：

Piromchai P. ^{[1
]}

Lertchanaruengrit P. ^{[2
]}

Vatanasapt P. ^{[1
]}

Ratanaanekchai T. ^{[1
]}

Thanaviratananich S. ^{[1
]}

机构：

[1] Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University

[2] Department of Pediatric, Vibhavadi Hospital, Bangkok

来源：

Journal of Medical Case Reports | / 4卷 / 1期

关键词：

Main Bronchus; Tracheostomy Tube; Tracheobronchial Tree; Foreign Body Aspiration; Tracheostomy Care;

D O I：

10.1186/1752-1947-4-234

中图分类号：

学科分类号：

摘要：

Introduction. Tracheostomy is a common airway procedure for life support. The fracture of the tracheostomy tube is a rare complication. We report a case of a 14-year-old boy whose fractured stainless steel tracheostomy tube dislodged into the tracheobronchial tree. We include a literature review and proposed recommendations for tracheostomy care. Case presentation. A 14-year-old Thai boy who had a stainless steel tracheostomy tube presented with a complaint of intermittent cough for 2 months. During tracheostomy tube cleaning, his parents found that the inner tube was missing. A chest X-ray revealed a metallic density foreign body in his right main bronchus. He underwent bronchoscopic removal of the inner tracheostomy tube and was discharged without further complications. Conclusion. A fractured tracheostomy tube is a rare complication. Appropriate cleaning and scheduled replacement of the tracheostomy tube may prevent this complication. © 2010Piromchai et al; licensee BioMed Central Ltd.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. © 2010 Piromchai et al; licensee BioMed Central Ltd.

引用

共 23 条

[1]

Lewis C.W., Carron J.D., Perkins J.A., Sie K.C., Feudtner C., Tracheotomy in pediatric patients: A national perspective, Arch Otolaryngol Head Neck Surg, 129, pp. 523-529, (2003)

[2]

Stauffer J.L., Olson D.E., Petty T.L., Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients, Am J Med, 70, pp. 65-76, (1981)

[3]

Bassoe H.H., Boe J., Broken tracheotomy tube as a foreign body, Lancet, 1, pp. 1006-1007, (1960)

[4]

Kemper B.I., Rosica N., Myers E.N., Sparkman T., Inner migration of the inner cannula: An unusual foreign body, Eye Ear Nose Throat Mon, 51, pp. 257-258, (1972)

[5]

Maru Y.K., Puri N.D., Majid A., An unusual foreign body in the tracheobronchial tree, J Laryngol Otol, 92, pp. 1045-1048, (1978)

[6]

Alvi A., Zahtz G.D., Fracture of a synthetic fenestrated tracheostomy tube: Case report and review of the literature, Am J Otolaryngol, 15, pp. 63-67, (1994)

[7]

Sood R.K., Fractured tracheostomy tube, J Laryngol Otol, 87, pp. 1033-1034, (1973)

[8]

Okafor B.C., Fracture of tracheostomy tubes. Pathogenesis and prevention, J Laryngol Otol, 97, pp. 771-774, (1983)

[9]

Bowdler D.A., Emery P.J., Tracheostomy tube fatigue. An unusual cause of inhaled foreign body, J Laryngol Otol, 99, pp. 517-521, (1985)

[10]

Majid A.A., Fractured silver tracheostomy tube: A case report and literature review, Singapore Med J, 30, pp. 602-604, (1989)

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