Medical College of Wisconsin
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Subacute airway obstruction caused by a suprastomal tracheal granuloma following tracheotomy in an adult. Ear Nose Throat J 2011 Sep;90(9):E13-5

Date

09/23/2011

Pubmed ID

21938687

DOI

10.1177/014556131109000919

Scopus ID

2-s2.0-81555213098 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

We report a case of a post-tracheotomy suprastomal granuloma in the early postoperative phase that caused subacute airway obstruction in a 28-year-old woman. The patient had undergone the tracheotomy during the surgical treatment of a submental abscess. During recovery, several capping trials had failed. Therefore, direct laryngoscopy was performed on postoperative day 11, and it revealed that the airway was being obstructed by a tracheal granuloma. The granuloma was managed with a partial resection and corticosteroids. The patient was successfully decannulated with no recurrence of the granuloma. To the best of our knowledge, airway obstruction secondary to a tracheal granuloma has not been previously reported as an early complication of a traditional surgical tracheotomy in an adult. In this report, we discuss the presenting features of this case and we propose several possible etiologies.

Author List

Kelly EA, Badi AN, Blumin JH, Poetker DM

Authors

Joel H. Blumin MD Chief, Professor in the Otolaryngology and Communication Sciences department at Medical College of Wisconsin
David M. Poetker MD Chief, Professor in the Otolaryngology and Communication Sciences department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Abscess
Adult
Airway Obstruction
Chin
Female
Granuloma
Humans
Tracheal Diseases
Tracheotomy