Schweiger Cláudia, Hart Catherine K, Cotton Robin T, Rutter Michael J
Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.
Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, U.S.A.
Laryngoscope. 2017 Dec;127(12):2883-2885. doi: 10.1002/lary.26576. Epub 2017 Jun 20.
Although suprastomal granulomas are a common complication of tracheotomy, they usually are an incidental finding and do not always require treatment. However, large granulomas may require removal, either to assist with speech production or to make the airway safer in the event of an accidental decannulation. Very large suprastomal granulomas extending up to or even through the vocal cords have been described. However, inverting suprastomal granulomas extending distally down the length of a tracheotomy tube have not been previously described. We present two cases of large suprastomal granulomas that extended distally down the trachea. Both extended beyond the tip of the tracheotomy tube, causing partial airway obstruction, and therefore required excision. Laryngoscope, 127:2883-2885, 2017.
虽然气管造口上方肉芽肿是气管切开术的常见并发症，但它们通常是偶然发现的，并不总是需要治疗。然而，较大的肉芽肿可能需要切除，要么是为了辅助发声，要么是为了在意外脱管时使气道更安全。曾有报道称存在非常大的气管造口上方肉芽肿，其向上延伸至甚至穿过声带。然而，此前尚未描述过倒置的气管造口上方肉芽肿沿气管切开管长度向远端延伸的情况。我们报告两例大的气管造口上方肉芽肿沿气管向远端延伸的病例。二者均延伸至气管切开管尖端之外，导致部分气道梗阻，因此需要切除。《喉镜》，2017年，第127卷：2883 - 2885页
