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Removal of an inhaled stoma button distal to a reactionary tracheal stenosis: a difficult airway case
  1. Gillian Gray1,
  2. Mark Adams2,
  3. Myles Black3 and
  4. Pushpinder Sidhu4
  1. 1 Head and Neck, BHSCT, Belfast, UK
  2. 2 Otolaryngology/Head & Neck Surgery, Royal Victoria Hospital, Belfast, UK
  3. 3 ENT, Royal Victoria Hospital, Belfast, UK
  4. 4 Thoracic Surgery, Royal Victoria Hospital, Belfast, UK
  1. Correspondence to Gillian Gray, missgilliantaylor{at}


We present the complex and rare case of an inhaled stoma button causing proximal tracheal stenosis in a laryngectomy patient. The patient was unaware he had inhaled his button and presented with increasing shortness of breath and noisy breathing. In this case we discuss the challenging management of the stenotic tracheal segment above the impacted stoma button and the surgical approach to this difficult airway. The distal foreign body was safely removed using rigid bronchoscopy and balloon dilatation. This difficult airway required multidisciplinary input from the ENT, cardiothoracic and anaesthetic teams.

  • ear, nose and throat/otolaryngology
  • cardiothoracic surgery
  • head and neck surgery
  • otolaryngology / ENT

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  • Contributors GG and MA: compiled the information after planning the case report, drafted an original copy, obtained and selected images, completed a literature search and completed both the case report and discussion. MB and PS: were the consultants in charge of this complex gentleman’s care, they combined their specialist knowledge to complete a complex and difficult operation. They recommended completion of a case report to advise others of this management option in order to improve care for other patients in the same scenario. Together they gave their specialist advice on the composition and salient information to be included in the case report. They reviewed initial drafts, they advised with regard to the literature search and discussion points and they captured the images to be included in this report during the operative procedure.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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