6533b839fe1ef96bd12a6750

RESEARCH PRODUCT

Relocation of an infected tracheostoma: anterior mediastinal tracheostomy as Mission:Impossible

ÖMer SenbaklavaciM HartertWolf J. Mann

subject

MalePulmonary and Respiratory Medicinemedicine.medical_specialtymedicine.medical_treatmentLaryngectomyTracheoesophageal fistulaCase Reports030204 cardiovascular system & hematology03 medical and health sciencesHigh morbidityTracheostomy0302 clinical medicineQuality of lifemedicineCarcinomaHumansIn patientbusiness.industryMediastinal tracheostomyMediastinumStentMiddle Agedmedicine.diseaseSurgeryLaryngectomy030228 respiratory systemQuality of LifeSurgeryCardiology and Cardiovascular MedicinebusinessVascular Surgical Procedures

description

Abstract Infected tracheostomas are frequently associated with high morbidity and mortality rates—especially in patients after neck-oncological surgery with subsequent radiochemotherapy. A 59-year-old male patient with a history of hypopharynx carcinoma, successive laryngectomy and adjuvant radiochemotherapy developed an oesophagotracheal fistula with massive inflammation and periodical bleedings, uncontrollable by regular stent alternations. In a multidisciplinary setting, the decision was made to treat the patient with an anterior mediastinal tracheostomy. Extending usual anterior mediastinal tracheostomy indications, we present an ultimate treatment option for infected tracheostomas and highly advocate this interdisciplinary venture, as it significantly improves quality of life.

yearjournalcountryeditionlanguage
2021-04-01Interactive CardioVascular and Thoracic Surgery
https://doi.org/10.1093/icvts/ivab071