Novel modification of tracheostomy tube to allow speech and manage tracheal stenosis

Michael De La Cruz, Shaheen Islam, Rebecca Cloyes

Research output: Contribution to journalArticle

5 Scopus citations


Mid-tracheal, postintubation stenosis can be managed with an extended length tracheostomy tube to bypass the stenotic area. However these extra-long tracheostomy tubes are not fenestrated, and when the stenotic tracheal lumen sits against the tracheostomy tube, phonation is not possible as there is no translaryngeal airflow. A 59-year-old man developed distal tracheal stenosis following a prolonged intubation and tracheostomy after a motorcycle accident. He eventually required an extra-long tracheostomy tube to bypass the stenotic region. We modified a silicone tracheostomy tube by creating a fenestration on its posterior wall. This relieved the obstruction while still allowing phonation and speech.

Original languageEnglish (US)
Article number200622
JournalBMJ Case Reports
StatePublished - Nov 22 2013
Externally publishedYes


ASJC Scopus subject areas

  • Medicine(all)

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