This patient was endotracheally intubated for several weeks, before a tracheostomy was performed. A subglottic intubation granuloma was found when she was unable to speak with a Passy-Muir speaking valve.
When the granuloma was excised, a band of scar tissue partially covering the tracheotomy tube( the blue structure) was discovered..
The tracheotomy tube was replaced with a laser resistant tube and the band of scar tissue was vaporized with the CO2 laser.
For pictures of tracheal resection and end-to-end anastomosis, click here: