Abstract
We report a case involving a male infant who underwent tracheotomy. He was 8 months old at the time of the operation, which was performed at the request of the Department of Anesthesiology, as he had congenital lower limb complex deformities and required frequent operations. After 7 orthopedic operations, bronchoscopic examination of the subglottis at the age of 4 years and 3 months revealed scar tissue that almost blocked the tracheal lumen directly above the cannula. Although the scar tissue was surgically removed at the age of 4 years and 7 months, tracheal stenosis due to postoperative adhesion was observed. He therefore underwent surgical tracheal dilation and T-tube placement at the age of 5 years and 4 months. The T-tube was removed 2 months later, and he underwent surgical tracheal fistula closure at the age of 5 years and 9 months. The postoperative course was uneventful. This report discusses potential factors causing difficulty in removing the tracheal cannula and therapeutic measures taken to overcome this problem.
