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espanolIntroduccion. La traqueotomia temporal electiva se emplea con frecuencia en intervenciones realizadas en el territorio cervicofacial. El colgajo de pared traqueal anterior de base inferior (colgajo de Bjork) facilita el cambio de canula en el periodo postoperatorio. Caso clinico. Paciente intervenido de un cancer oral al que tras haberse cerrado el traqueostoma se le descubrio de forma casual un hilo de sutura en la luz traqueal. Dada la dificultad de su retirada por via endoscopica y ausencia de sintomatologia, se decidio no retirarlo. Discusion. La traqueotomia electiva en oncologia cervicofacial asegura la via aerea, pero presenta tambien complicaciones. Es muy importante un adecuado manejo del traqueostoma, independientemente de que se elija un cierre primario o secundario del mismo. EnglishElective temporary tracheotomy in often performed in head and neck oncologic surgery. An inferiorly hinged tracheal fiap (Bjork flap) provides a secure airway in the inmediate postoperative period. Clinical case. This patient underwent resection oian oral cancer and subsequent tracheotomy. After deccanulation, a piece of suture was found into the trachea as an incidental discovery. There were no symptoms related to it, and it was not possible to remove it from the anterior tracheal wall by means of endoscopy, so it was left in place. Discussion. Elective tracheotomy in head and neck resection for ma/ignancy safeguards the airway, but a/so has complications. It is very important a careful management of the stoma, without regara if a primary or secundar/ closure of it is chosen.

Una complicación inusual del colgajo de Björk en la traqueotomía electiva