Friday, April 28, 2017

Return to: Four-flap Epithelial Lined Tracheotomy

See also: Case Example Tracheal Stenosis after Tracheotomy with Four Flap Epithelial Lined Tracheotomy

Clinical Background

  • Tracheomalacia status post previous standard tracheotomy (subsequently removed)
    • Untreated OSAS; morbid obesity
    • Diabetes
    • Other cardiopulmonary comorbidities.

Findings on endoscopy and at time of tracheotomy

  1. Firm narrowing of trach 3.8 cm below vcs (upper aspect of previous tracheotomy)
  2. Large thyroid isthmus
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