Tracheal stricture following tracheostomy.

Six cases of tracheal obstruction following tracheostomy are described in which surgical intervention was necessary. These occurred in a series of 104 tracheostomies. In adults the strictures have occurred at the site of pressure of the tracheostomy tube cuff. Management has been by excision of the stricture with end-to-end reconstruction. Tracheal narrowing in children has been of a different type, occurring at stomal level, and management has been more difficult.