Tracheomalacia is characterized by weakness of the tracheal walls and supporting cartilage. It results in dynamic compression of the airway, where the cross-sectional area of the trachea is reduced by expiratory compression. Acquired tracheomalacia results from complications associated with the use of endotracheal or tracheostomy tubes. In this report, we present three cases of patients with amyotrophic lateral sclerosis (ALS) successfully treated for tracheomalacia, including one case where the patient underwent surgery for combined tracheoesophageal fistula. We discuss the appropriate management strategies for tracheomalacia in patients with ALS. Through these case reports, we note the results of ALS patients who will have tracheostomy, and who are therefore at risk of sustaining a long term high cuff pressure, this study provides an evaluation for tracheomalacia and therapeutic management which should be considered for improving patient care outcomes.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5940616 | PMC |
| http://dx.doi.org/10.5535/arm.2018.42.2.368 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Airway Management With Congenital Tracheal Stenosis: Surgical and Anesthetic Consideration.
Laryngoscope
November 2024
The Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Article Synopsis
- The study investigates airway management techniques and demographic data of patients with congenital tracheal stenosis (CTS) during preoperative, intraoperative, and postoperative periods, based on a review of patient charts from a pediatric medical center from 2001 to 2018.
- Out of 148 patients analyzed, the majority had congenital tracheal rings as the cause of their CTS, with a median age of 9 months at surgery and most experiencing 50% to 80% stenosis.
- Findings emphasize the importance of coordinated airway management between surgical and anesthesia teams during slide tracheoplasty, which is shown to be an effective treatment for CTS.
Acquired tracheomalacia due to SARS-CoV-2 pneumonia.
Clin Respir J
January 2024
Pulmonology Service, Department of Medicine, Vall d'Hebron University Hospital, Autonomous University of Barcelona, Barcelona, Spain.
Introduction: Several studies mentioned parenchymal findings after SARS-CoV-2 pneumonia, but few studies have mentioned alterations in the airways. The aim of this study was to estimate the prevalence of tracheomalacia and to analyse the clinical characteristics in a cohort of patients with SARS-CoV-2.
Methods: The study population consisted of all patients with SARS-CoV-2 admitted a hospital serving a population of 500 000 inhabitants.
Pedicled pericardial patch in tracheal reconstruction in children - Novel technique to provide vascularized tissue for salvaging difficult airways.
Int J Pediatr Otorhinolaryngol
March 2024
Department of Cardiothoracic Surgery, Great Ormond Street Hospital, London, United Kingdom. Electronic address:
Background: Management of large central airway defects are often complex. Children who present with these defects have multiple co-morbidities or have had previous surgeries. Surgical options include various tissue cover for these defects without longer term benefits.
View Article and Find Full Text PDFTracheomalacia following a total thyroidectomy in a patient with a large non-toxic goiter: A case report.
Int J Surg Case Rep
March 2024
Surgery Department, Medical Faculty of Universitas Sebelas Maret, Dr. Moewardi Hospital, Surakarta, Indonesia.
Introduction: Nontoxic nodular goiter is one of the most prevalent thyroid conditions worldwide. Thyroidectomy for large goiters has a relatively high risk of postoperative airway obstruction, with tracheomalacia being one of the potential complications.
Case Report: A 61-year-old woman complained of a lump in her neck for 45 years.
Tracheomalacia in Adults: An Uncommon Cause of Dyspnea.
Cureus
November 2023
Surgery Department, Clovis Community, Clovis, USA.
Tracheomalacia (TM), the most common congenital tracheal defect, is due to compromised cartilage integrity, manifesting in the narrowing of expiratory airways and various respiratory symptoms. While TM is common in infants and toddlers, it is rarely found in adults, often due to acquired injuries or chronic lung diseases. We present a unique case of a 67-year-old man with persistent dyspnea and hoarseness for two years.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!