Open AccessRemoval of an inhaled stoma button distal to a reactionary tracheal stenosis: a difficult airway case
Author(s) -
Gillian Gray,
Mark N. Adams,
Myles Black,
Pushpinder Sidhu
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-230392
Subject(s) - medicine , airway , tracheal stenosis , stoma (medicine) , bronchoscopy , surgery , stenosis , foreign body , airway management , anesthesia , radiology
We present the complex and rare case of an inhaled stoma button causing proximal tracheal stenosis in a laryngectomy patient. The patient was unaware he had inhaled his button and presented with increasing shortness of breath and noisy breathing. In this case we discuss the challenging management of the stenotic tracheal segment above the impacted stoma button and the surgical approach to this difficult airway. The distal foreign body was safely removed using rigid bronchoscopy and balloon dilatation. This difficult airway required multidisciplinary input from the ENT, cardiothoracic and anaesthetic teams.