Incorporated home-made long endotracheal tube: a useful option for treating mucus plugging following silicone stenting.
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.
Chao
Yin-Kai
YK
Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taiwan [corrected]
Liu
Yun-Hen
YH
Hsieh
Ming-Ju
MJ
Ko
Po-Jen
PJ
Liu
Hui-Ping
HP
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
D012828:Silicones