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Long custom‐made plastic tracheostomy tube in severe tracheomalacia
Author(s) -
Shapiro Robert S.,
Martin W. Maurice
Publication year - 1981
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198103000-00002
Subject(s) - tracheomalacia , tracheoesophageal fistula , atresia , medicine , tracheostomy tube , tube (container) , surgery , fistula , airway , materials science , composite material
Tracheomalacia occasionally occurs after repair of esophageal atresia and distal tracheoesophageal fistula. It is usually mild, and tracheostomy is rarely necessary. In severe cases of tracheomalacia after repair of esophageal atresia and distal tracheoesophageal fistula, the tracheomalacia may extend below the tip of a regular plastic tracheostomy tube. A patient with just such a problem is presented. A custom‐made long plastic tracheostomy tube was designed. A method of gluing the upper portion of a standard plastic tracheostomy tube to an uncuffed thin‐walled polyvinyl chloride endotracheal tube was discovered and the technique is described in detail. The literature is reviewed concerning custom‐made long plastic tracheostomy tubes, and tracheomalacia in relation to esophageal atresia and distal tracheoesophageal fistula.