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Ear, nose and throat
Tracheal metallic hybrid stent removal via tracheostomy: an unconventional approach
  1. André Carção1,2,3,
  2. Diogo Cunha-Cabral1,2,3,4,
  3. Marta Neves1,2,3 and
  4. Gustavo Lopes1,2,3
  1. 1Otorhinolaryngology and Head and Neck Surgery, Hospital Pedro Hispano, Matosinhos, Portugal
  2. 2Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
  3. 3Surgery Department, Hospital Pedro Hispano, Matosinhos, Portugal
  4. 4Anatomy, Universidade do Porto Faculdade de Medicina, Porto, Portugal
  1. Correspondence to Dr André Carção; andre.carcao92{at}gmail.com

Abstract

Increasing use of tracheal expandable metallic hybrid stents will lead to common encounters with these devices in emergency airway management. The presence of these stents qualifies any patient as a challenge when an emergency tracheostomy is needed. We report an unorthodox technique of tracheostomy with concomitant removal of tracheal stent, without any major complications. Although the combined approach with bronchoscopy and tracheostomy has been reported in similar cases, we present a safe procedure when rigid bronchoscopy is not available.

  • Otolaryngology / ENT
  • Head and neck surgery
  • Ear, nose and throat/otolaryngology

https://doi.org/10.1136/bcr-2023-258861

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images and critical revision for important intellectual content: AC—patient care, surgery, literature review and writing case report. DC-C—surgery and literature review. MN—surgery and review of the manuscript. GL—patient care, surgery, review of the manuscript. All authors gave final approval of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.