gms | German Medical Science

83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2012, Mainz

Definite Epilation with percutanious radiotherapy of endotracheal hair after closure of a tracheotomy: A case report

Meeting Abstract

Suche in Medline nach

  • corresponding author Karl-Heinz Küppers - HNO Holweide, Kliniken der Stadt Köln, Köln
  • Horst-Dieter Weinhold - Praxis, Bergisch Gladbach
  • Nermin Uenal - HNO Holweide, Kliniken der Stadt Köln, Köln
  • Steffen Maune - HNO Holweide, Kliniken der Stadt Köln, Köln

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod019

doi: 10.3205/12hnod019, urn:nbn:de:0183-12hnod0195

Veröffentlicht: 4. April 2012

© 2012 Küppers et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Defect closure with myocutaneous flaps in the upper aero digestive tract can be difficult and produce complications. We report about a patient with tracheal hair growth of a cutaneous flap after tracheotomy closure.

Method: A 55 year old patient, who was long term tracheotomy dependent after suffering from a polytrauma, presented years after cutaneous flap closure with a recurrence of dyspnoea and stridor. Multiple tracheobronchoscopies during recent years found ventral tracheal hair growth about 2 cm subglottic, which were physically epilated yearly for 4 years. A fractured cutaneous radiotherapy with a total dose of 40 Gy removed all endotracheal hair permanently.

Results: Plastical cutaneous flap closure procedures can lead to intra tracheal hair growth in rare occasions, which is a complication leading to slowly progressing dyspnoea and stridor and requires consecutive management. Multiple panendoscopies revealed recurrent ventral tracheal hair growth approximately 2 cm subglottic, which were physically epilated, only leading to a temporal solution. Radiotherapy with 40 Gy showed a permanent effect.

Conclusion: Tracheobronchoscopy and physical removal of tracheal hair only lead to a transient therapy success. Complications with hair in cutaneous flap closure procedures of the aero digestive tract can be dealt with radiotherapy and thus will lead to definite epilation.