[Complications of percutaneous dilational tracheotomy--case report].
BACKGROUND
Tracheotomy is one of the most oldest operations in surgery. Percutaneous dilational tracheotomy has become increasingly popular as an alternative to standard tracheotomy over the last 30 years. It is particularly useful in patients who require prolonged mechanical ventilation, in the intensive care units. Percutaneous tracheotomy is a technique that can be performed at the bedside. It is cost effective, minimally invasive and can be done rapidly.


METHODS
We report a case of subglottic stenosis after percutaneous tracheotomy. A 56- year old obese man with chronic obstructive lung disease, insulin-independent diabetes, arterial hypertention and atrial fibrillation was admitted to the ENT Department because of stridor. 3 months earlier he had undergone percutaneous dilational tracheotomy due to respiratory failure. Laryngostroboscopy and a CT scan were performed, and showed 25 mm subglottic airway obstruction of the trachea.


CONCLUSIONS
The incidence of asymptomatic subglottic tracheal stenosis after decannulation of percutaneous tracheotomy patients has been reported in over 25% with to 2% case reports of symptomatic stenosis. Although percutaneous dilational tracheotomy is considered as a safe procedure, there is a high incidence of tracheal stenosis.
Bruzgielewicz
Antoni
A
Katedra i Klinika Otolaryngologii Warszawskiego Uniwersytetu Medycznego.
Sielska-Badurek
Ewelina
E
Osuch-Wójcikiewicz
Ewa
E
Grotthuss
Marta
M
D000402:Airway Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology*; D004106:Dilatation / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D011859:Radiography; D012131:Respiratory Insufficiency / Q000209:etiology / Q000601:surgery; D014135:Tracheal Stenosis / Q000000981:diagnostic imaging* / Q000209:etiology*; D014140:Tracheotomy / Q000009:adverse effects*