A Case of Muscular Dystrophy who developed Deformation of the Vertebrae due to Excessive Cuff Pressure of the Tracheostomy Tube and Defective Tracheal Cannula Fixation

Abstract

　Because muscular dystrophy progressively causes respiratory failure, tracheotomy is necessary in most cases. Scoliosis and chest deformity are associated with deformation of the trachea resulting in complications occurring during tracheal cannulation. Herein, we present a case of Duchenne-type muscular dystrophy who developed an enlarged tracheostoma and deformation of the vertebrae during long-term ventilatory management. Careful supervision of tracheal cannulation, such as fixation per se of the tracheal cannula, selection of the proper tracheal cannula and dispersion of the cuff pressure was required for his care at home.