| Abstrakt: |
Objective: To study the causes of acute airway obstruction in patient post total laryngectomy. Design: This is a case report of an 83-year-old male laryngectomee with airway obstruction secondary to periprosthetic infection and stoma stenosis. Materials and Methods: We report a case of an 83-year-old male who underwent total laryngectomy and tracheoesophageal puncture (TEP), who presented with acute airway obstruction. The stoma was stenosed but patent and flexible scope revealed granulation tissue from posterior wall of trachea pushing TEP anteriorly and obstructing more than 50% of tracheal lumen. We further discuss on causes of airway obstruction in a laryngectomee and its current management. Results: Causes of acute airway obstruction after total laryngectomy includes stoma stenosis, stoma recurrence, overzealous crusting or granulation tissues, periprosthetic infection, fungal infection of stoma, tracheomalacia and lower respiratory tract infection. Conclusion: Securing the airway patency should be of utmost important alongside details investigation of the possible diagnosis. Despite its rarity, post laryngectomy complication such as stoma stenosis can be avoided by creating minimal tension stoma, preservation of complete tracheal rings and stoma care to prevent superinfection. Management include serial dilatation and stomaplasty. [ABSTRACT FROM AUTHOR] |
