Lynrah Zareen Aliiana, Goyal Shilpa, Goyal Amit, Lyngdoh Nari Mary, Shunyu Neizekhotuo Brian, Baruah Binayak, Dass Rashna, Yunus Mohammad, Bhattacharyya Prithwis
Department of Otorhinolaryngology and Head & Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Mawdiangdiang, Shillong 793018, Meghalaya, India.
Int J Pediatr Otorhinolaryngol. 2012 Nov;76(11):1691-5. doi: 10.1016/j.ijporl.2012.07.033. Epub 2012 Aug 24.
Tracheostomy tubes are extensively used in paediatric age group for airway issues. Their fracture and lodgement into trachea is an acute emergency requiring urgent intervention.
We report three such paediatric cases having tracheostomy tube fracture and aspiration into trachea with different presentations and treatment outcomes.
One patient was successfully managed with bronchoscopy and fractured tube removal. One patient succumbed to asphyxia before any intervention. The third patient was having supratubal tracheal stenosis making things more dangerous, but was managed successfully by tracheoscopy through tracheostomy opening with removal of fractured tube.
Immediate identification is the key to successful management of this rare but life threatening situation. In the presence of tracheal stenosis above the tracheostomy opening, situation becomes more dangerous with very limited options for management.
气管造口管在儿科年龄组中广泛用于气道问题。其断裂并掉入气管是一种急性紧急情况，需要紧急干预。
我们报告了三例此类儿科病例，气管造口管断裂并吸入气管，表现各异，治疗结果也不同。
一名患者通过支气管镜检查和取出断裂的管子成功得到治疗。一名患者在任何干预之前死于窒息。第三名患者存在气管造口管上方的气管狭窄，使情况更加危险，但通过经气管造口开口的气管镜检查成功取出断裂的管子而得到治疗。
立即识别是成功处理这种罕见但危及生命情况的关键。在气管造口开口上方存在气管狭窄的情况下，情况会变得更加危险，管理选择非常有限。
