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A Novel Approach to Repair of Tracheal Occlusion Secondary to Percutaneous Tracheostomy Creation

Syed, Ali
Kamalia, Mohammed A.
Messina, Alison
Andaz, Shahriyour
Melamed, Joshua
Gibson, Vanessa
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DOI
https://doi.org/10.7759/cureus.33868
Abstract
The number of endotracheal intubations increased in the United States during the COVID-19 pandemic with an associated rise in laryngotracheal injury. Our patient had a complete laryngeal occlusion just proximal to the first tracheal ring. The Neodymium-doped Yttrium Aluminum Garnet (Nd-YAG) laser is often used to resolve sub-laryngeal occlusions, and without access to the Nd-YAG laser, we had to find an alternative solution. Few centers have the access to an Nd-YAG laser, the optimal choice for sub-laryngeal occlusion and our novel approach allowed us to reestablish tracheal continuity and the patient’s ability to speak.
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Citation
Syed A, Kamalia M A, Messina A, et al. (January 17, 2023) A Novel Approach to Repair of Tracheal Occlusion Secondary to Percutaneous Tracheostomy Creation. Cureus 15(1): e33868. doi:10.7759/cureus.33868
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Cureus: Journal of Medical Science, Vol. 15, Iss. 1
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