Thyroid cartilage fracture following percutaneous tracheotomy tube placement

December 31, 2012
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Laryngoscopic Clinic

Patients whose body mass index (BMI) is 30 or greater have a higher likelihood of a distorted anatomy, which can make tracheotomy tube placement difficult.

A 60-year-old man presented to our otolaryngology clinic with a 2-week history of dysphonia. One month earlier at another surgical service, the patient had undergone a percutaneous tracheotomy in the medical intensive care unit following a cardiac event. He was weaned from ventilator support several days later, and he subsequently had his tracheotomy tube downsized.

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