Posterior tracheal wall disruption: a rare complication of pediatric tracheotomy and bronchoscopy

The Laryngoscope
W S Crysdale, V Forte

Abstract

Disruption of the posterior tracheal wall is an uncommon complication of tracheotomy, bronchoscopy, or even endotracheal intubation. With disruption of the posterior tracheal wall, air tracking may present as surgical emphysema, pneumomediastinum, or pneumothoraces, and may be associated with respiratory distress. Six children with posterior tracheal wall disruptions are presented: three associated with tracheotomy, one bronchoscopy, and another during endotracheal intubation. Early recognition and appropriate management of tracheal disruption will minimize air tracking and the associated morbidity. Tracheal disruption may be avoided by utilizing appropriate surgical, endoscopic, and intubation techniques.

References

Jun 1, 1984·Journal of Pediatric Surgery·C H Lockhart, J L Elliot
Dec 1, 1964·The Annals of Otology, Rhinology, and Laryngology·M T BRENNAN, F J PUTNEY
Sep 1, 1950·The Annals of Otology, Rhinology, and Laryngology·A H ANDREWS, R J McMAHON

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Citations

Mar 1, 1992·Acta Paediatrica·H J PuhakkaE Iisalo
Feb 1, 1988·International Journal of Pediatric Otorhinolaryngology·I H Kielmovitch, W H Friedman

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