Repeated Tracheostomy Tube Cuff Rupture Due to Tracheobronchopathia Osteochondroplastica: A Case Report

Document Type : Case Report

Authors

1 Department of Anesthesia and Critical Care, Shiraz University of Medical Sciences, Shiraz, Iran.

2 Department of Pulmonary and Critical Care, Shiraz University of Medical Sciences, Shiraz, Iran.

3 Department of Cardiothoracic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

4 Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran.

Abstract

Introduction:
Tracheobronchopathia osteochondroplastica (TPO) is a rare benign disorder of the lower part of the trachea and the upper part of the main bronchi.
 
Case Report:
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.
 
Conclusion: 
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. 

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Main Subjects

References

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Iranian Journal of Otorhinolaryngology
Volume 27, Issue 5 - Serial Number 5
September and October 2015
Pages 387-390

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