Letter in Reply: When the Air is the Complication

We thank the authors for their letter, regarding our case of cervical aerocele: a rare delayed complication of tracheostomy. Both of our cases were similar in terms of complications following an open tracheostomy. However, subcutaneous emphysema is a well-established sequelae as a result of an openi...

Full description

Bibliographic Details
Main Authors: Siti Asmat Md Arepen, Nor Eyzawiah Hassan
Format: Article
Language:English
Published: Oman Medical Specialty Board 2020-05-01
Series:Oman Medical Journal
Subjects:
air
Online Access:http://omjournal.org/articleDetails.aspx?coType=1&aId=2610
Description
Summary:We thank the authors for their letter, regarding our case of cervical aerocele: a rare delayed complication of tracheostomy. Both of our cases were similar in terms of complications following an open tracheostomy. However, subcutaneous emphysema is a well-established sequelae as a result of an opening made into the anterior tracheal rings, which may induce leaking of air extra-luminally. If the skin closure is too tight, the subcutaneous emphysema is more likely to occur. There is no pathology needed, but aggravating factors like cough will worsen the condition. The position of the tracheostomy, size of tracheostomy, and surgical incision over the trachea can also be risk factors for the development of subcutaneous emphysema.
ISSN:1999-768X
2070-5204