Aspirated stoma button: an unusual complication

Nadarajah, Sanjeevan; Mathews, John; McCormick, M

doi:10.1258/0022215042703804

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…Fever, tenderness, subcutaneous or mediastinal emphysema also accompany perforation. In order to prevent these complications, timely diagnosis and removal are mandatory 17,18 …”

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confidence: 99%

Ingested foreign bodies causing complications and requiring hospitalization in European children: Results from the ESFBI study

Gregori¹,

Scarinzi

Morra

et al. 2010

Pediatrics International

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Background: In young children, particularly those aged 1-3 years, aerodigestive tract foreign bodies (FB) are a common pediatric problem. The aim of the present study was therefore to characterize the risk of complications and prolonged hospitalization due to FB in the upper digestive tract in terms of the characteristics of the injured patients (age, gender), typology and features of the FB, the circumstances of the accident and hospitalization details. Methods: A retrospective study was done in 19 hospitals in 19 corresponding European countries of 186 cases of injury due to the presence of an FB in the mouth, esophagus and stomach (ICD935), out of the 2103 overall cases of FB reported in other locations. Results:Complications arose in 14 cases and hospitalization was required in 164 cases. No deaths were observed.Ahigher incidence of hospitalization in male patients (61%) was observed. Median age for children who experienced complications was 2 years old. The most common FB removal technique was esophagoscopy. In the majority of cases the children were treated by the ENT Department. The most common FB were coins, batteries and fish bones among food. Conclusion:Because batteries, as well as coins and fish bones among food were the most common type of FB encountered, and because recent development of technology has accelerated broad use of disk-type batteries, parents should be aware of this hazard, and an educational campaign for public education for this serious problem is advisable.

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“…Fever, tenderness, subcutaneous or mediastinal emphysema also accompany perforation. In order to prevent these complications, timely diagnosis and removal are mandatory 17,18 …”

mentioning

confidence: 99%

Ingested foreign bodies causing complications and requiring hospitalization in European children: Results from the ESFBI study

Gregori¹,

Scarinzi

Morra

et al. 2010

Pediatrics International

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“…In previously reported cases of stoma button aspiration, patients tended to present with a clear history of aspiration with acute respiratory distress requiring immediate emergency intervention using a local anaesthetic spray and forceps via the stoma 3. Other techniques for removal of a foreign body in the acute phase included bronchoscopy with Fogarty balloon catheters inflated distal to the obstruction and withdrawn and Dormia Baskets (Stankiewicz and Consiglio 1986) 4. Bowder and Emery also suggested that the tracheostomes may need to be enlarged using relieving incisions if the foreign body is too large to pass through 5–7…”

Section: Discussionmentioning

confidence: 99%

Removal of an inhaled stoma button distal to a reactionary tracheal stenosis: a difficult airway case

Gray¹,

Adams

Black

et al. 2019

BMJ Case Rep

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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.

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“…These devices cannot be readily connected to a ventilator and are very challenging for the patient to replace, leading to potential life-threatening respiratory emergencies. In addition, life-threatening medical complications can arise from a poorly fit device, including aspiration, skin breakdown and unintentional closure of the stoma 7. As a result, these stoma stents are rarely used.…”

Section: Introductionmentioning

confidence: 99%

Patient-specific tracheal stoma plug improves quality of life for tracheostomy patients

et al. 2022

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ObjectiveDespite being life-saving, tracheostomies carry numerous social, functional and quality of life (QOL) drawbacks. The aim of this study was to design and test the use of small, discrete, customised tracheostomy stoma plugs in patients who are not tracheostomy-dependent during the day, with the overall goals to demonstrate the feasibility of creating these patient-specific devices and obtain preliminary results of impact on QOL.MethodsWe developed and evaluated a novel patient-specific ‘stoma plug’ to improve the lives of those with tracheostomies who did not have a daytime ventilation requirement. The stoma plug was designed and manufactured using three-dimensional printing for each subject. Measurements of the patient’s fistula were obtained in the clinic and the features of the stoma plug were created to match the fistula and trach tube dimensions. Patients were monitored for any changes in their eligibility status and for complications associated with using the ‘stoma plug’. A survey questionnaire examining multiple QOL domains was performed predevice and at 1 and 6 months of use.ResultsDevices were designed and produced for 35 patients enrolled across two institutions. The survey results demonstrate statistically significant improvement in quality-of-life scores (p<0.05) in all six domains queried (Overall QOL, voice strength, voice clarity, water tolerance, swallowing and breathing) with substantial improvements in social isolation and skin irritation reported.ConclusionOur study demonstrates that a patient specific device can be created to ameliorate many of the drawbacks associated with a tracheostomy tube, with the potential to revolutionise tracheostomy care.

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Aspirated stoma button: an unusual complication

Cited by 6 publications

References 6 publications

Ingested foreign bodies causing complications and requiring hospitalization in European children: Results from the ESFBI study

Ingested foreign bodies causing complications and requiring hospitalization in European children: Results from the ESFBI study

Removal of an inhaled stoma button distal to a reactionary tracheal stenosis: a difficult airway case

Patient-specific tracheal stoma plug improves quality of life for tracheostomy patients

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