Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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Severe Complication of Percutaneous Dilatational Tracheostomy

경피적 확장 기관 절개술의 중대 합병증

  • Cho, Young-Jin (Department of Otolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Lim, Ji-Hyung (Department of Otolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Lee, Yong-Joo (Department of Otolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Nam, Inn-Chul (Department of Otolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 조영진 (가톨릭대학교 의과대학 인천성모병원 이비인후과학교실) ;
  • 임지형 (가톨릭대학교 의과대학 인천성모병원 이비인후과학교실) ;
  • 이용주 (가톨릭대학교 의과대학 인천성모병원 이비인후과학교실) ;
  • 남인철 (가톨릭대학교 의과대학 인천성모병원 이비인후과학교실)
  • Received : 2016.03.07
  • Accepted : 2016.04.04
  • Published : 2016.06.30
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Abstract

Percutaneous dilatational tracheostomy (PDT) has become an increasingly popular method of establishing an airway for patients in need of chronic ventilator assistance. We report a rare case of a 42-year-old female who developed extensive subcutaneous emphysema, bilateral pneumothoraces, pneumomediastinum, and pneumoperitoneum after percutaneous dilatational tracheostomy. The patient suffered from amyotrophic lateral sclerosis, and underwent PDT after a period of mechanical ventilation. During PDT, tracheostomy tube was inserted into the paratracheal space. Follow-up chest radiography and computed tomography of chest and abdomen revealed extensive subcutaneous emphysema, bilateral pneumothoraces, pneumomediastinum, and pneumoperitoneum. The patient was treated successfully with insertion of the thoracostomy tube and conservative care.

Keywords

References

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