Successful Management of Acquired Tracheomalacia of Patients With Amyotrophic Lateral Sclerosis: A Report of Three Cases.
10.5535/arm.2018.42.2.368
- Author:
Jung Hyun YANG
1
;
Tae Wan KIM
;
Byeong Ju LEE
;
Jin A YOON
;
Myung Jun SHIN
;
Yong Beom SHIN
Author Information
1. Department of Rehabilitation Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. yjk5289@naver.com
- Publication Type:Case Report
- Keywords:
Amyotrophic lateral sclerosis;
Tracheomalacia;
Tracheoesophageal fistula
- MeSH:
Amyotrophic Lateral Sclerosis*;
Cartilage;
Humans;
Patient Care;
Trachea;
Tracheoesophageal Fistula;
Tracheomalacia*;
Tracheostomy
- From:Annals of Rehabilitation Medicine
2018;42(2):368-371
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
