Acta Scientific Otolaryngology (ASOL)

Case Report Volume 2 Issue 3

Difficult Tracheostomy in Fixed Flexed Neck due to Ankylosing Spondylitis: How we did it?

Rohini Aggarwal1, Tim Holzmann2, Govind Tol3 and Chaitanya Gadepalli1*

1Consultant ENT, Salford Royal Foundation Trust, Manchester, UK
2Consultant Intensive Care, Salford Royal Foundation Trust, Manchester, UK
3Consultant Anaesthesiology, Salford Royal Foundation Trust, Manchester, UK

*Corresponding Author: Chaitanya Gadepalli, Consultant ENT, Salford Royal Foundation Trust, Manchester, UK.

Received: February 01, 2020; Published: February 07, 2020



Introduction: Ankylosing spondylosis is a chronic inflammatory condition leading to multiple organ involvement. Cervical spine involvement leads to fixed flexion deformity posing difficulty in accessing anterior neck and airway. We describe a technically difficult tracheostomy in a patient with fixed flexion deformity of neck due to ankylosing spondylitis. 

Method: Description of the case report, importance of using computer tomography scanning and three-dimensional modelling and technique of surgical tracheostomy.

Conclusion: Safe tracheostomy can be performed in difficult to access anterior neck by a multi-disciplinary approach.

Keywords: Ankylosing Spondylitis; Tracheostomy



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Citation: Chaitanya Gadepalli., et al. “Difficult Tracheostomy in Fixed Flexed Neck due to Ankylosing Spondylitis: How we did it?". Acta Scientific Otolaryngology 2.3 (2020): 03-06.


Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

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