Korean J Otorhinolaryngol-Head Neck Surg.  2010 Jan;53(1):47-49. 10.3342/kjorl-hns.2010.53.1.47.

Tracheal Rupture after Intubation of Endotracheal Tube for Laser Operation

• Choi JH

• KMID: 2277128
• DOI: http://doi.org/10.3342/kjorl-hns.2010.53.1.47

Abstract

A case of extensive pneumomediastinum and subcutaneous emphysema is presented, after endotracheal intubation with a metallic endotracheal tube during laser epiglottectomy. A 69 year old woman had a laser tube intubation-related tracheal injury. The patient was managed with intubation and chest tube insertion as well as antibiotic treatment. The patient made a full and uncomplicated recovery and was discharged 10 days after the original injury. Aggressive surgical repair for such injuries is not always mandatory. In the absence of infectious complications, a conservative approach is an option for lesions 3 cm above the carina where it is possible to inflate a cuff. Urgent chest CT scanning subsequently can confirm extensive mediastinal and subcutaneous emphysema and probable tracheal laceration. The use of a laser tube during laser laryngeal microsurgery requires meticulous care.

Keyword

Tracheal rupture; Pneumomediastinum; Subcutaneous emphysema; Endotracheal tube; Laser surgery

MeSH Terms

Chest Tubes
Female
Humans
Intubation
Intubation, Intratracheal
Lacerations
Laser Therapy
Mediastinal Emphysema
Microsurgery
Rupture
Subcutaneous Emphysema
Thorax