title: Airway obstruction by granulation tissue within a fenestrated tracheotomy tube: case report.
abstract: Complications of tracheotomy tube placement can be categorized as intraoperative, early postoperative, and late postoperative. Among the late complications is the development of granulation tissue. We describe one of the few reported cases of granulation tissue that formed within a fenestrated tracheotomy tube. In this case, the granulation tissue grew through the fenestrations, obliterated the tracheal lumen, and tethered the tube to the trachea itself. As a result, the patient required emergency treatment to restore airway patency.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, 5E-UHC, School of Medicine, Wayne State University, 4201 St. Antoine, Detroit, MI 48201, USA. mcarron@med.wayne.edu
authors.forename: Michael A
authors.initials: MA
authors.lastname: Carron
authors.forename: Sihun Alex
authors.initials: SA
authors.lastname: Kim
authors.forename: Raja
authors.initials: R
authors.lastname: Sawhney
authors.forename: Patrick
authors.initials: P
authors.lastname: Reidy
mesh_terms: D000402:Airway Obstruction / Q000209:etiology* / Q000601:surgery*; D020878:Device Removal / Q000379:methods; D005260:Female; D006097:Granulation Tissue / Q000473:pathology*; D006801:Humans; D007828:Laryngoscopy; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery*; D014140:Tracheotomy / Q000009:adverse effects* / Q000295:instrumentation