Boubekri Ayoub, Walid Atmani, Rida Touab, Bensghir Mustapha, Drissi Mohamed
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 3
Issue: 3
Date of Publication: 2026/03/27
Tracheotomy is a widely performed procedure to secure the airway, either temporarily or permanently, but it may lead to rare and serious late complications. We report an exceptional case of tracheotomy cannula fracture with intrabronchial migration in a 90-year-old patient who underwent permanent tracheotomy following surgery for laryngeal cancer. Five years after the procedure, the patient presented with acute respiratory distress and reported breakage of the cannula. Imaging by computed tomography revealed the migrated fragment in the left main bronchus. The patient underwent urgent endoscopic removal of the foreign body, followed by revision tracheotomy, with favorable postoperative outcomes. Cannula fracture is an uncommon but potentially life-threatening complication, often associated with prolonged use, material fatigue, and inadequate maintenance. Although more frequently described with metallic tubes, this case highlights that plastic cannulas are also susceptible. Prevention relies on regular follow-up, proper care of the tracheostomy device, and patient education. Early diagnosis and prompt management are essential to avoid severe respiratory complications and ensure a good prognosis.
Tracheotomy , cannula fracture , cannula migration , bronchoscopy
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