Repeated Tracheostomy Tube Cuff Rupture Due to Tracheobronchopathia Osteochondroplastica: A Case Report

• Main Authors: REZA Nikandish, Mahammad Javad Fallahi, Beezhan Ziaiian, Pooya Iranpour
• Format: Article
• Language: English
• Published: Mashhad University of Medical Sciences 2015-09-01
• Series: Iranian Journal of Otorhinolaryngology
• Subjects: Intubation; Tracheobronchopathia osteochondroplastica; Tracheostomy
• Online Access: http://ijorl.mums.ac.ir/article_4792_dd68cab527d06bb2356e8672a8b5607f.pdf

Introduction: Tracheobronchopathia osteochondroplastica (TPO) is a rare benign disorder of the lower part of the trachea and the upper part of the main bronchi.   Case Report: A case of tracheobronchopathia osteochondroplastica (TPO) diagnosed at the time of intubation in an intensive care unit due to difficulty when advancing the endotracheal tube beyond the vocal cords, is reported. A problem was encountered which had not been reported previously in TPO: repeated cuff rupture at the time of surgical tracheostomy occurred possibly because of bony and cartilaginous tissue located in the tracheal wall.   Conclusion:  In addition to difficulty of intubation, TPO may cause tracheostomy tube cuff rupture, which could be explained due to bonny calcification in the tracheal wall.