Subacute airway obstruction caused by a suprastomal tracheal granuloma following tracheotomy in an adult.

Autor: Kelly, Elizabeth A., Badi, Arunkumar N., Blumin, Joel H., Poetker, David M.
Předmět:
Zdroj: ENT: Ear, Nose & Throat Journal; Sep2011, Vol. 90 Issue 9, pE13-E15, 3p, 1 Color Photograph, 1 Black and White Photograph
Abstrakt: We report a case of a post-tracheotomy suprastomal granuloma in the early postoperative phase that caused subacute airway obstruction in a 28-year-old woman. The patient had undergone the tracheotomy during the surgical treatment of a submental abscess. During recovery, several capping trials had failed. Therefore, direct laryngoscopy was performed on postoperative day 11, and it revealed that the airway was being obstructed by a tracheal granuloma. The granuloma was managed with a partial resection and corticosteroids. The patient was successfully decannulated with no recurrence of the granuloma. To the best of our knowledge, airway obstruction secondary to a tracheal granuloma has not been previously reported as an early complication of a traditional surgical tracheotomy in an adult. In this report, we discuss the presenting features of this case and we propose several possible etiologies. [ABSTRACT FROM AUTHOR]
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