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Tracheostomy Tube Exchange Failure Under General Anesthesia: A Case Report and Retrospective Analysis
Yuki Kojima DDS, PhD,
 Ryozo Sendo DDS, and
 Kazuya Hirabayashi MD, MBA
Article Category: Case Report
Volume/Issue: Volume 70: Issue 3
Online Publication Date: Oct 18, 2023
DOI: 10.2344/anpr-70-02-05
Page Range: 120 – 123

Tracheostomy is common in cases with a high risk of airway obstruction after head and neck surgery. Management of the tracheostomy tube requires frequent sputum aspiration and regular replacement/cleaning to ensure airway patency. Tracheostomy tube exchange is often safe because it is performed under spontaneous ventilation. During the COVID-19 pandemic, it is desirable to replace the tracheostomy tube after extinguishing spontaneous ventilations to effectively prevent coughing when performing surgery under general anesthesia

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Tension Pneumothorax After Percutaneous Tracheostomy
Sarina Matsumura DDS,
 Naotaka Kishimoto DDS, PhD,
 Tomio Iseki DDS, PhD, and
 Yoshihiro Momota DDS, PhD
Article Category: Case Report
Volume/Issue: Volume 64: Issue 2
Online Publication Date: Jan 01, 2017
DOI: 10.2344/anpr-64-02-07
Page Range: 85 – 87

Percutaneous tracheostomy, which generally involves a blind surgical procedure, carries a risk of causing damage to the trachea and surrounding tissue and can result in complications such as mediastinal emphysema and tension pneumothorax. 1 – 6 Furthermore, the incidence of tracheal stenosis following percutaneous tracheostomy has also been reported. 7 Here, we report a case of right tension pneumothorax as a result of injury to the posterior tracheal wall at the time of percutaneous tracheostomy, despite suturing. CASE

Figure 3.; Bronchofiberoscopy of the stenotic segment. Bronchofiberscopy demonstrating stenosis of a short tracheal segment corresponding to the past tracheostomy site and a cicatrix consistent with a longitudinal incision.
Kazumi Takaishi,
 Shinji Kawahito, and
 Hiroshi Kitahata
Figure 3.
Figure 3.

Bronchofiberoscopy of the stenotic segment. Bronchofiberscopy demonstrating stenosis of a short tracheal segment corresponding to the past tracheostomy site and a cicatrix consistent with a longitudinal incision.

Perioperative Management of a Patient With Tongue Cancer Who Developed Pneumomediastinum Following Tracheostomy Performed to Secure the Airway
Ken Takahashi DDS,
 Tomoka Matsumura DDS, PhD,
 Yushi Abe DDS,
 Atsushi Nakajima DDS, PhD,
 Takuya Funayama DDS, PhD,
 Thunshuda Sumphaongern MD,
 Ryo Wakita DDS, PhD, and
 Shigeru Maeda DDS, PhD
Article Category: Brief Report
Volume/Issue: Volume 69: Issue 4
Online Publication Date: Dec 19, 2022
DOI: 10.2344/anpr-69-03-02
Page Range: 37 – 39

CASE PRESENTATION A 45-year-old male (height 170 cm; weight 60 kg; body mass index 20.7 kg/m 2 ) was scheduled to undergo general anesthesia for surgical resection of squamous cell carcinoma (T4aN2bM0) involving the right side of the tongue, along with a tracheostomy, bilateral radical neck dissection, and reconstruction with a rectus abdominis flap. However, 3 days before the planned surgery there was massive bleeding from the tumor. A tracheostomy was performed in the operating room to avoid asphyxia due to the substantial bleeding under

Figure 2.; Axial computed tomography images obtained 1 week after the emergent tracheostomy. Subcutaneous emphysema and pneumomediastinum have almost disappeared.
Ken Takahashi,
 Tomoka Matsumura,
 Yushi Abe,
 Atsushi Nakajima,
 Takuya Funayama,
 Thunshuda Sumphaongern,
 Ryo Wakita, and
 Shigeru Maeda
Figure 2.
Figure 2.

Axial computed tomography images obtained 1 week after the emergent tracheostomy.

Subcutaneous emphysema and pneumomediastinum have almost disappeared.

Figure 3 ; Oral and maxillofacial surgeon applies digital pressure to the facial artery to temporize bleeding, while surgical colleague performs tracheostomy.
Roman Dudaryk,
 Danielle B. Horn, and
 J. Marshall Green III
<bold>Figure 3</bold>
Figure 3

Oral and maxillofacial surgeon applies digital pressure to the facial artery to temporize bleeding, while surgical colleague performs tracheostomy.

Management of a Patient With Tracheal Stenosis After Previous Tracheotomy
Kazumi Takaishi,
 Shinji Kawahito, and
 Hiroshi Kitahata
Article Category: Case Report
Volume/Issue: Volume 68: Issue 4
Online Publication Date: Dec 15, 2021
DOI: 10.2344/anpr-68-03-08
Page Range: 224 – 229

, linagliptin, ezetimibe, solifenacin, and magnesium oxide). The patient had undergone a tracheotomy 8 years previously for tetanus requiring a 4-month hospitalization, and although the total duration of the tracheostomy was unclear, the orifice was closed. Pulmonary function tests revealed mild restrictive ventilatory impairment ( Table ), and her oxygen saturation (SpO 2 ) on room air was 94%. No abnormalities were noted upon auscultation of her lungs. She had no other symptoms aside from mild dyspnea while supine. Based on the preoperative assessment, she was deemed as a

Figure 1.; Axial computed tomography images obtained 2 days after the emergent tracheostomy. Left: Subcutaneous emphysema (red arrows) inside the clavicle at the second thoracic vertebral level. Right: Pneumomediastinum (red arrows) at the fifth vertebral level.
Ken Takahashi,
 Tomoka Matsumura,
 Yushi Abe,
 Atsushi Nakajima,
 Takuya Funayama,
 Thunshuda Sumphaongern,
 Ryo Wakita, and
 Shigeru Maeda
Figure 1.
Figure 1.

Axial computed tomography images obtained 2 days after the emergent tracheostomy.

Left: Subcutaneous emphysema (red arrows) inside the clavicle at the second thoracic vertebral level. Right: Pneumomediastinum (red arrows) at the fifth vertebral level.

Figure 2.  ; Insertion of the scope into the stoma. A flexible fiber-optic bronchoscope (855 mm long, LF-GP, Olympus Medical) was inserted in the patient's tracheostomy stoma and advanced cephalad.
Ramanjot S. Kang,
 Robert Hutnik,
 Ishu Kant,
 Aaron Zlatopolsky,
 Chamandeep Brar, and
 Slawomir P. Oleszak
<bold>Figure 2. </bold>
Figure 2. 

Insertion of the scope into the stoma. A flexible fiber-optic bronchoscope (855 mm long, LF-GP, Olympus Medical) was inserted in the patient's tracheostomy stoma and advanced cephalad.

Figure 2. ; Computed tomography (CT) scan of the neck with contrast 2 days after placement of the tracheostomy. (A) Sagittal cut reveals a mass in the hypopharynx and piriform sinuses; note the limited airway space. (B) Axial cut at the level of the hyoid bone reveals a mass that is 1.4 × 0.5 cm in size.
Regina A. E. Dowdy and
 Bryant W. Cornelius
Figure 2. 
Figure 2. 

Computed tomography (CT) scan of the neck with contrast 2 days after placement of the tracheostomy. (A) Sagittal cut reveals a mass in the hypopharynx and piriform sinuses; note the limited airway space. (B) Axial cut at the level of the hyoid bone reveals a mass that is 1.4 × 0.5 cm in size.