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KMID : 1140920180420020368
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Annals of Rehabilitation Medicine
2018 Volume.42 No. 2 p.368 ~ p.371
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Successful Management of AcquiredTracheomalacia of Patients With AmyotrophicLateral Sclerosis: A Report of Three Cases
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Yang Jung-Hyun
Kim Tae-Wan
Lee Byeong-Ju
Yoon Jin-A
Shin Myung-Jun
Shin Yong-Beom
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Abstract
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Tracheomalacia is characterized by weakness of the tracheal walls and supporting cartilage. It results in dynamiccompression of the airway, where the cross-sectional area of the trachea is reduced by expiratory compression.Acquired tracheomalacia results from complications associated with the use of endotracheal or tracheostomytubes. In this report, we present three cases of patients with amyotrophic lateral sclerosis (ALS) successfully treatedfor tracheomalacia, including one case where the patient underwent surgery for combined tracheoesophagealfistula. We discuss the appropriate management strategies for tracheomalacia in patients with ALS. Throughthese case reports, we note the results of ALS patients who will have tracheostomy, and who are therefore at riskof sustaining a long term high cuff pressure, this study provides an evaluation for tracheomalacia and therapeuticmanagement which should be considered for improving patient care outcomes.
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KEYWORD
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Amyotrophic lateral sclerosis, Tracheomalacia, Tracheoesophageal fistula
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