title: Repeated Tracheostomy Tube Cuff Rupture Due to Tracheobronchopathia Osteochondroplastica: A Case Report.
abstract: BACKGROUND
  Tracheobronchopathia osteochondroplastica (TPO) is a rare benign disorder of the lower part of the trachea and the upper part of the main bronchi.
  
  
  METHODS
  A case of tracheobronchopathia osteochondroplastica (TPO) diagnosed at the time of intubation in an intensive care unit due to difficulty when advancing the endotracheal tube beyond the vocal cords, is reported. A problem was encountered which had not been reported previously in TPO: repeated cuff rupture at the time of surgical tracheostomy occurred possibly because of bony and cartilaginous tissue located in the tracheal wall.
  
  
  CONCLUSIONS
  In addition to difficulty of intubation, TPO may cause tracheostomy tube cuff rupture, which could be explained due to bonny calcification in the tracheal wall.
authors.affiliation: Department of Anesthesia and Critical Care, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Reza
authors.initials: R
authors.lastname: Nikandish
authors.affiliation: Department of Pulmonary and Critical Care, Shiraz University of Medical Sciences, Shiraz, Iran .
authors.forename: Mahammad Javad
authors.initials: MJ
authors.lastname: Fallahi
authors.affiliation: Department of Cardiothoracic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Beezhan
authors.initials: B
authors.lastname: Ziaian
authors.affiliation: Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran .
authors.forename: Pooya
authors.initials: P
authors.lastname: Iranpour
keywords: Intubation; Tracheobronchopathia osteochondroplastica; Tracheostomy