Tracheal Rupture after Intubation of Endotracheal Tube for Laser Operation.
10.3342/kjorl-hns.2010.53.1.47
- Author:
Jeong Hwan CHOI
1
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. choijh92@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Tracheal rupture;
Pneumomediastinum;
Subcutaneous emphysema;
Endotracheal tube;
Laser surgery
- MeSH:
Chest Tubes;
Female;
Humans;
Intubation;
Intubation, Intratracheal;
Lacerations;
Laser Therapy;
Mediastinal Emphysema;
Microsurgery;
Rupture;
Subcutaneous Emphysema;
Thorax
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2010;53(1):47-49
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A case of extensive pneumomediastinum and subcutaneous emphysema is presented, after endotracheal intubation with a metallic endotracheal tube during laser epiglottectomy. A 69 year old woman had a laser tube intubation-related tracheal injury. The patient was managed with intubation and chest tube insertion as well as antibiotic treatment. The patient made a full and uncomplicated recovery and was discharged 10 days after the original injury. Aggressive surgical repair for such injuries is not always mandatory. In the absence of infectious complications, a conservative approach is an option for lesions 3 cm above the carina where it is possible to inflate a cuff. Urgent chest CT scanning subsequently can confirm extensive mediastinal and subcutaneous emphysema and probable tracheal laceration. The use of a laser tube during laser laryngeal microsurgery requires meticulous care.
