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Tracheoesophageal Fistula and Tracheal Stenosis after Long-Term Mechanical Ventilation

1998; Raven Press; Volume: 5; Issue: 1 Linguagem: Inglês

10.1097/00128594-199801000-00010

1536-7959

Dimitar Kostadinov, Stancho Stanchev, Emil Astroukov, Alexander Simidchiev, Emil Benov, Berislava Deseva, Pavel Emanuilov, A. Temelkov,

Foreign Body Medical Cases

Abstract: Tracheal stenosis (TS), tracheomalacia, and tracheo-esophageal fistula (TEF) are life-threatening complications, most often caused by long-term mechanical ventilation. We describe a 45-year-old man with combined thoracoabdominal trauma who developed symptoms of TEF and TS after a 20-day period of mechanical ventilation. The diagnostic and therapeutic modalities used are discussed. Periodic endoscopic inspection of the airways of all long-term ventilatior patients who have tracheostomies may help to prevent and/or to detect these complications.