title: Incorporated home-made long endotracheal tube: a useful option for treating mucus plugging following silicone stenting.
abstract: Stenting is an effective method of treating airway stenosis. However, airway obstruction due to mucus plugging is problematic. Treatment of this has mainly been conservative. This report describes a patient with complicated tracheal stenosis treated with silicone hood stent, who experienced repeated episodes of airway obstruction due to sputum accumulation. A novel method of sputum clearance and self-care, using a long endotracheal tube within the silicone stent, is described. This procedure resulted in a stable and patent airway, and the patient was discharged smoothly after the procedure. No further respiratory symptom occurred during the follow-up period.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taiwan [corrected]
authors.forename: Yin-Kai
authors.initials: YK
authors.lastname: Chao
authors.forename: Yun-Hen
authors.initials: YH
authors.lastname: Liu
authors.forename: Ming-Ju
authors.initials: MJ
authors.lastname: Hsieh
authors.forename: Po-Jen
authors.initials: PJ
authors.lastname: Ko
authors.forename: Hui-Ping
authors.initials: HP
authors.lastname: Liu
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004867:Equipment Design; D006801:Humans; D007442:Intubation, Intratracheal; D007822:Laryngeal Neoplasms / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000628:therapy; D012828:Silicones; D013183:Sputum; D015607:Stents / Q000009:adverse effects*; D014135:Tracheal Stenosis / Q000209:etiology / Q000628:therapy*; D014139:Tracheostomy
chemical_list: D012828:Silicones