Kashoob Musallam, Al Washahi Mohammed, Tandon Rajiv
ENT Residency Training Program, Oman Medical Specialty Board, Muscat, Oman.
ENT Department, Sultan Qaboos University Hospital, Muscat, Oman.
Oman Med J. 2020 Apr 14;35(2):e113. doi: 10.5001/omj.2020.31. eCollection 2020 Mar.
Tracheostomy is a common life-saving surgical procedure, which has its own short- and long-term surgical complications. Occasionally, after being in place for several years, the tube may fracture, causing a foreign body reaction in the bronchus followed by life-threatening pneumonia. We report a rare case of a 29-year-old man with a known leukodystrophy disorder whose tracheostomy tube was never changed in 14 years. He presented with signs of sepsis and respiratory distress. The management and intraoperative findings, including recommendations for tracheostomy care, were described.
气管切开术是一种常见的挽救生命的外科手术，它有其自身的短期和长期手术并发症。偶尔，在放置数年之后，气管导管可能会断裂，导致支气管内出现异物反应，继而引发危及生命的肺炎。我们报告一例罕见病例，一名29岁患有已知脑白质营养不良症的男性，其气管切开导管14年来从未更换。他出现了败血症和呼吸窘迫的症状。文中描述了其治疗方法和术中发现，包括气管切开护理的建议。
