Mediastinal obstruction of the trachea.


Acute tracheal obstruction by a mediastinal mass is uncommon in otolaryngologic practice. Choosing techniques for securing the airway, induction of anaesthesia, and the surgical approach require careful deliberation. We report our experience in a patient with acute respiratory distress due to external compression of the trachea in the mediastinum by metastatic carcinoma. We used a fibre-optic bronchoscope ensheathed by an endotracheal tube to secure the airway. Standard tracheotomy tubes were too short to splint open the obstruction in the distal trachea, whereas the long Montgomery T-tube was effective.

Cite this paper

@article{Hoal1995MediastinalOO, title={Mediastinal obstruction of the trachea.}, author={Sefik A Hoşal and JASON A. FISHER and Jeremy Freeman}, journal={The Journal of otolaryngology}, year={1995}, volume={24 3}, pages={139-42} }