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Ann Thorac Cardiovasc Surg · Aug 2006
Case ReportsObstructive subglottic granuloma after removal of a minitracheostomy tube.
- Takashi Ohtsuka, Hiroaki Nomori, Ken-Ichi Watanabe, Masahiro Kaji, Tsuguo Naruke, and Keiichi Suemasu.
- Department of Thoracic Surgery, Saiseikai Central Hospital, Tokyo, Japan.
- Ann Thorac Cardiovasc Surg. 2006 Aug 1; 12 (4): 265-6.
AbstractWe 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.
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