Abstract
Two cases of the high cervicals cord dysfunction were presented and the respiratory management after tracheostomy was studied. The fisrt case was a 48-year-old male suffering from the cervical cord tumor at C2-4. After laminectomy, he had dyspnea and was tracheostomized. A tracheal T-shaped tube with speech bulb was placed in his stoma. The respiratory rehabilitation was performed on and his stoma was closed. The five years later he could not walk and the tumor was removed. After the operation he had dyspnea. Tracheostomy was performed. But he required respiratory assistanse at night and fatigue. A special devise was made in order to connect tracheal T-shaped tube with respirator, so that he could speak with a speech bulb on T-shaped tube while he did not have dyspnea. The second case was a 20-year-old T21 trisomy female with atlanto-axial subluxation in whose trachea a intubation stenosis was found. A tracheal T-shaped tube was placed after her tracheostomy. She could speak whenenever she wanted with the help of speech bulb. The respiratory rehabilitation was performed on, but the result was poor mainly because of her mental retardation.
