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(Chest. 2001;119:961-964.)
© 2001 American College of Chest Physicians

Atresia of the Trachea Following Repeated Percutaneous Dilational Tracheotomy*

Jens Peter Klussmann, MD; Hans Georg Brochhagen, MD; Christian Sittel, MD; Hans Edmund Eckel, MD and Klaus Wassermann, MD, FCCP

* From the Departments of Otorhinolaryngology (Drs. Klussmann, Sittel, and Eckel), Radiology (Dr. Brochhagen), and Medicine (Dr. Wasserman), University of Cologne, Cologne, Germany.

Correspondence to: Jens Peter Klussmann, MD, HNO-Klinik der Universität zu Köln, D-50924 Köln, Germany; e-mail: peter.klussmann{at}uni-koeln.de

Percutaneous dilational tracheotomy (PDT) and conventional tracheostomy are still competing methods to provide an airway for intensive care patients requiring assisted ventilation. Tracheal stenosis is a late complication for any tracheostomy and long-term intubation. However, late complications in PDT have not been extensively studied. This article is the first to report on total atresia of the subglottic larynx and cervical trachea after PDT. The dimension of the lesion is visualized by three-dimensional reconstructed CT scan. The etiology of this condition is discussed.

Key Words: percutaneous • tracheal stenosis • tracheostomy • tracheotomy






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