Abstract:
Tracheostomy is a common airway procedure for life support. Fracture of tracheostomy
tube is a rare complication. We report an unusual case who had recurrent fractured
metallic outer tracheostomy tube dislodging into tracheobronchial tree. A 11 year old girl
who underwent tracheostomy for Idiopathic bilateral abductor palsy, presented with sudden
onset of difficulty in breathing and stridor. Chest X-ray revealed a metallic tube occupying
trachea to right bronchus. Removal under general anaesthesia was extremely difficult
though successful finally. After 2yrs she presented with same situation which necessitated
emergency removal under rigid bronchoscopy. We report this case of dislodged
tracheostomy tube twice in a 11 year old because of its recurrence, unique presentation
and difficulty in retrieval