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Head Neck. 1996 May-Jun;18(3):295-8.

Cervical osteomyelitis after percutaneous transtracheal ventilation and tracheotomy.

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1
Otolaryngology/Head and Neck Surgery, University of Washington School of Medicine, Seattle, USA.

Abstract

BACKGROUND:

Percutaneous transtracheal ventilation has proven useful in emergent airway management.

METHODS:

A report of a case is presented. Results. A 42-year-old woman who developed laryngospasm required emergency airway intervention She developed massive subcutaneous emphysema and required emergent cricothyroidotomy which was immediately converted to a tracheotomy. Although she was quickly decanulated, she developed late cervical osteomyelitis which resolved with intravenous antibiotic therapy.

CONCLUSIONS:

Cervical osteomyelitis has not been previously reported as a complication of percutaneous transtracheal ventilation or tracheotomy Contamination of the deep neck spaces facilitated by pressure dissection of the fascial planes may have led to this complication.

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