Tracheostomy reversal years after patient lost to follow-up

• Main Authors: Jill Querney, Jean-Luc Ethier
• Format: Article
• Language: English
• Published: BMC 2018-07-01
• Series: Journal of Otolaryngology - Head and Neck Surgery
• Subjects: Tracheostomy; Decannulation; Rural health
• Online Access: http://link.springer.com/article/10.1186/s40463-018-0291-x

Abstract Background Pediatric tracheostomies occur for various reasons, including prologned intubation, and require a multidisciplinary approach with routine follow-up. Case presentation This report reviews the history and clinical outcome of a 29 year old female patient who was lost to follow-up for nearly two decades after a pediatric tracheostomy. When she presented to the Otolaryngology service as an adult the original indication for tracheostomy had resolved and decannulation was initiated, but a profound psychological dependence had developed. Conclusion This case outlines the importance of regular follow-up for tracheostomy patients, as well as health care barriers faced in remote rural communities.