Annju Thomas*

ENT Surgeon, Little Flower Hospital, Angamaly, Kerala, India

*Corresponding Author: Annju Thomas, ENT Surgeon, Little Flower Hospital, Angamaly, Kerala, India.

Received: April 18, 2022; Published: June 15, 2022

Abstract

Introduction: Post laryngectomy the trachea is separated from the esophagus and a permanent opening is created at the anterior part of the neck. Stomal site complications include bleeding, pharyngocutaneous fistula, stomal crusting, stomal stenosis, voice prosthesis dislodgement, acute airway obstruction of which bleeding is one of the most common complications.

Case Report: We report a case of 56 year old male who presented with a late stomal site bleed.

Discussion: Many early and late complications if left undiagnosed can pose a danger in a post-operative laryngectomy patient. Through this case report we emphasize that the rarely seen cause must be kept in mind as a differential diagnosis in case of a post laryngectomy stomal site bleed.

Keywords: Post laryngectomy; Stomal; Trachea

References

1. Shweta G PA-C., et al. “Care of the post-laryngectomy stoma”. Fast Facts and Concepts (2014): 281.
2. John RE and Malen JF. “Contemporary issues in adult tracheostomy management”. Critical Care Nursing Clinics of North America 16 (2004): 413-430.
3. Abdulmajid OA., et al. “Aspirated foreign bodies in the tracheobronchial tree: Report of 250 cases”. Thorax 31 (1976): 635-640.
4. Limper AH and Prakash UB. “Tracheobronchial foreign bodies in adults”. Annals of Internal Medicine 112 (1990): 604-609.
5. Rehurek L. “Unusual complications caused by a foreign body in the tracheobronchial tree”. Laryngoscope 85 (1975): 1767-1769.
6. Cannon CR. “Small tracheal stoma: An unusual cause of aspiration”. Southern Medical Journal 75 (1982): 512-513.
7. Finkelstein OM., et al. “Inhalation of a safety pin by a laryngectomized patient: A case report”. Journal of Otolaryngology 18 (1989): 189-192.
8. Jonathan N and James F. “Aspirated foreign body in a laryngectomized patient: Case report and literature review”. ENT- Ear, Nose and Throat Journal (2001): 744-748.
9. Lan RS., et al. “Use of fiberoptic bronchoscopy to retrieve bronchial foreign bodies in adults”. American Review of Respiratory Disease 140 (1989): 1734-1737.
10. Cunanan OS. “The flexible fiberoptic bronchoscope in foreign body removal. Experience in 300 cases”. Chest 73 (1978): 725-726.
11. Kadam VR., et al. “Speaking valve’ aspiration in a laryngectomy patient”. Anaesthesia and Intensive Care1 (2010): 197-200.

Citation

Citation: Annju Thomas. “Rare Cause of Stomal Bleed in a Post Laryngectomy Patient: A Case Report".Acta Scientific Otolaryngology 4.7 (2022): 37-38.

Copyright

Copyright: © 2022 Annju Thomas. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.