Obstructive subglottic granuloma after removal of a minitracheostomy tube.

Takashi Ohtsuka, Hiroaki Nomori, Ken Ichi Watanabe, Masahiro Kaji, Tsuguo Naruke, Keiichi Suemasu

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Abstract

We report herein a patient with subglottic granuloma after removal of a minitracheostomy tube (Minitrach II, SIMS Portex Inc., Hythe, Kent, UK). The patient underwent pulmonary resection for lung cancer followed by insertion of the minitracheostomy tube for prevention of sputum retention. The tube was removed 4 days after insertion. Twelve weeks later, the patient developed severe dyspnea and stridor. Bronchoscopy showed an obstructive subglottic granuloma arising from the anterior wall. The granuloma was removed by coring out using a conventional tracheal tube, followed by local injection of methylprednisolone acetate. The patient is now asymptomatic without regrowth of the granulation tissue 12 weeks after the treatment. With complication in mind, attention should be paid to patients suffering dyspnea or stridor after removal of a minitracheostomy tube.

Original languageEnglish
Pages (from-to)265-266
Number of pages2
JournalAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
Volume12
Issue number4
Publication statusPublished - 2006 Aug
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

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