Skip to main content
. 2020 Jul 22;56(8):367. doi: 10.3390/medicina56080367

Figure 3.

Figure 3

A case in which the SEMS was successfully removed but a silicone stent was needed to maintain airway patency. A 35-year-old male who had undergone tracheostomy nine years prior due to a traffic accident suffered from progressive dyspnea after tracheostomy closure and subsequently underwent SEMS insertion. However, he experienced progressive respiratory distress again two months after stent insertion. The patient was referred to our institution with a tracheostomy. (A) Chest radiography showed a 75-mm SEMS in the trachea and a tracheostomy tube (red arrow). (B) There was no stenosis at the upper end of the SEMS. (C) However, there was Grade III stenosis at the lower end of the SEMS. (D) The SEMS was rolled up and pulled out using optical rigid forceps. Severe stenosis and granulation tissue remained in the trachea. (E) We inserted two Natural stents with an outer diameter of 12 mm and a length of 80 mm (sewn 50 mm and 30 mm stents using black silk (yellow arrows)). (F) Then, we inserted a tracheal stoma retainer through the tracheostomy site (green arrow).