{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:45Z","timestamp":1753877265537,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:00:00Z","timestamp":1750636800000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Tracheostomy complications range from early to late complications. One of the late complications can be seen with cuff over-inflation that exceeds tracheal capillary perfusion pressure, which leads to segmental tracheomalacia and rarely, tracheal wall erosion. A 40-year-old male with amyotrophic lateral sclerosis and mechanical ventilation dependence was found to have a persistent ventilatory leak. Endoscopic examination revealed a large posterior tracheal wall erosion that was confirmed by computed tomography. Conservative management by the placement of a long endotracheal tube through the tracheostoma was chosen. Cuff pressure over 20\u201325\u00a0cm H\u2082O, which exceeds tracheal capillary perfusion pressure, increases the risk of tracheal mucosal ischemia. Preventive strategies such as the use of pressure-limiting devices and careful tube selection, should be implemented. Regular implementation of preventive measures along with early identification are essential for avoiding tracheostomy tube complications. This case demonstrates the importance of strict cuff pressure maintenance to avoid tracheal wall injuries.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf361","type":"journal-article","created":{"date-parts":[[2025,6,29]],"date-time":"2025-06-29T03:03:26Z","timestamp":1751166206000},"source":"Crossref","is-referenced-by-count":0,"title":["Posterior trachea wall erosion: a case report and literature review of a catastrophic complication of cuff overinflation"],"prefix":"10.1093","volume":"2025","author":[{"given":"Zahraa","family":"Almuhanna","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, King Fahd Hospital of the University , Bashar Ibn Burd St. Alaqrabiyah-Khobareastern Province 34445 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zinab","family":"Bohulaigah","sequence":"additional","affiliation":[{"name":"College of Medicine, AlMaarefa University , King Khalid Branch Road, Alkhalidiyah, Diriyah, Riyadh 13713 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hussain","family":"Alkhawaja","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, King Fahd Hospital of the University , Bashar bin Burd St Aqrabiyah, Khobar 34445 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hadeel","family":"Aljafar","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, King Fahd Hospital of the University , Bashar Ibn Burd St. Alaqrabiyah-Khobareastern Province 34445 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,23]]},"reference":[{"key":"2025062823032125800_ref1","doi-asserted-by":"publisher","first-page":"e2018072","DOI":"10.4322\/acr.2018.072","article-title":"Tracheal stenosis due to endotracheal tube cuff hyperinflation: a preventable complication","volume":"9","author":"Da Costa Gaspar","year":"2019","journal-title":"Autopsy Case Rep"},{"key":"2025062823032125800_ref2","doi-asserted-by":"publisher","first-page":"e56875","DOI":"10.7759\/cureus.56875","article-title":"Unifying endotracheal Intracuff-pressure monitoring in the intensive care unit: bridging the gap between standardization and neglect","volume":"16","author":"Yadav","year":"2024","journal-title":"Cureus"},{"key":"2025062823032125800_ref3","doi-asserted-by":"publisher","first-page":"R109","DOI":"10.1186\/cc6142","article-title":"Continuous control of endotracheal cuff pressure and tracheal wall damage: a randomized controlled animal study","volume":"11","author":"Nseir","year":"2007","journal-title":"Crit Care"},{"key":"2025062823032125800_ref4","doi-asserted-by":"publisher","first-page":"e189","DOI":"10.1016\/j.jemermed.2019.08.040","article-title":"Inadvertent tracheostomy cuff hyperinflation causing tracheal dilation","volume":"57","author":"Saran","year":"2019","journal-title":"J Emerg Med"},{"key":"2025062823032125800_ref5","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1111\/iwj.12291","article-title":"Tracheal rupture related to endotracheal intubation after thyroid surgery: a case report and systematic review","volume":"13","author":"Xu","year":"2014","journal-title":"Int Wound J"},{"key":"2025062823032125800_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s42269-023-01156-0","article-title":"Tracheo-innominate fistula as a late complication of prolonged intubation in a patient with mycobacterium tuberculosis: a case report","volume":"47","author":"Isaza-Meza","year":"2023","journal-title":"Bull Natl Res Centre"},{"key":"2025062823032125800_ref7","doi-asserted-by":"publisher","first-page":"A2310","DOI":"10.1016\/j.chest.2023.07.1554","article-title":"Tracheo-arterial fistula (TAF) masquerading as a pulsatile obstructing mass due to prolonged intubation: a fatal complication","volume":"164","author":"Jain","year":"2023","journal-title":"Chest J"},{"key":"2025062823032125800_ref8","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1016\/j.accpm.2020.04.007","article-title":"Automatic regulation of the endotracheal tube cuff pressure with a portable elastomeric device. 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