This page was last updated: October 11, 2014
CT Scan Pictures Showing Tracheostomy Tube in False Mediastinal Tract.
This patient was able to speak, in spite of the fact that she had an uncapped tracheostomy tube.  A suction catheter could not be introduced more than a few inches before meeting resistance. 

The picture above is a sagittal reformatting of a neck CT scan that shows the tracheotomy cannula in a false tract, outside the trachea.  The axial CT scan picture below shows the same tracheostomy cannula anterior to the trachea.  This can be avoided by creating an inferiorly-based anterior tracheal wall trapdoor flap.

Bechara Y. Ghorayeb, MD
Otolaryngology - Head & Neck Surgery

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Houston, Texas 77043
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