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Four flap epithelial lined tracheotomy with thyroid isthmusectomy and anterior cervical lipectomy - Clinical case example

last modified on: Tue, 10/17/2023 - 08:13

return to: Four-flap Epithelial Lined Tracheotomy

see: Case Example Tracheal Stenosis after Tracheotomy with Four Flap Epithelial Lined Tracheotomy

Clinical Background

  1. Tracheomalacia status post previous standard tracheotomy (subsequently removed)
    1. Untreated OSAS; morbid obesity
    2. Diabetes
    3. Other cardiopulmonary comorbidities.

Findings on endoscopy and at time of tracheotomy

  1. Firm narrowing of trach 3.8 cm below vcs (upper aspect of previous tracheotomy)
  2. Large thyroid isthmus