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Although the combined approach with bronchoscopy and tracheostomy has been reported in similar cases, we present a safe procedure when rigid bronchoscopy is not available.<\/jats:p>","DOI":"10.1136\/bcr-2023-258861","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T22:35:23Z","timestamp":1716935723000},"page":"e258861","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Tracheal metallic hybrid stent removal via tracheostomy: an unconventional approach"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3804-8697","authenticated-orcid":false,"given":"Andr\u00e9","family":"Car\u00e7\u00e3o","sequence":"first","affiliation":[{"name":"Otorhinolaryngology and Head and Neck Surgery, Hospital Pedro Hispano, Matosinhos, Portugal"},{"name":"Unidade Local de Sa\u00fade de Matosinhos, Matosinhos, Portugal"},{"name":"Surgery Department, Hospital Pedro Hispano, Matosinhos, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6868-8209","authenticated-orcid":false,"given":"Diogo","family":"Cunha-Cabral","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology and Head and Neck Surgery, Hospital Pedro Hispano, Matosinhos, Portugal"},{"name":"Unidade Local de Sa\u00fade de Matosinhos, Matosinhos, Portugal"},{"name":"Surgery Department, Hospital Pedro Hispano, Matosinhos, Portugal"},{"name":"Anatomy, Universidade do Porto Faculdade de Medicina, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Neves","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology and Head and Neck Surgery, Hospital Pedro Hispano, Matosinhos, Portugal"},{"name":"Unidade Local de Sa\u00fade de Matosinhos, Matosinhos, Portugal"},{"name":"Surgery Department, Hospital Pedro Hispano, Matosinhos, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo","family":"Lopes","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology and Head and Neck Surgery, Hospital Pedro Hispano, Matosinhos, Portugal"},{"name":"Unidade Local de Sa\u00fade de Matosinhos, Matosinhos, Portugal"},{"name":"Surgery Department, Hospital Pedro Hispano, Matosinhos, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"key":"2025082800040615000_17.5.e258861.1","doi-asserted-by":"crossref","DOI":"10.1186\/s40981-022-00500-z","article-title":"Anesthetic management of tracheal stent extraction using a double gum elastic Bougie technique","volume":"8","author":"Sato","year":"2022","journal-title":"JA Clin Rep"},{"key":"2025082800040615000_17.5.e258861.2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.1.37"},{"key":"2025082800040615000_17.5.e258861.3","doi-asserted-by":"crossref","first-page":"273","DOI":"10.21037\/acs.2018.03.08","article-title":"Airway Stents","volume":"7","author":"Folch","year":"2018","journal-title":"Ann Cardiothorac Surg"},{"key":"2025082800040615000_17.5.e258861.4","doi-asserted-by":"crossref","first-page":"626","DOI":"10.4103\/sja.SJA_106_18","article-title":"Emergent airway management in a patient with in situ tracheal Stent: a lesson learned","volume":"12","author":"Navas-Blanco","year":"2018","journal-title":"Saudi J Anaesth"},{"key":"2025082800040615000_17.5.e258861.5","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1093\/icvts\/ivab132","article-title":"Percutaneous dilation tracheostomy in a patient with tracheal Stent","volume":"33","author":"Fiorelli","year":"2021","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2025082800040615000_17.5.e258861.6","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1258\/0022215054797871","article-title":"An approach to tracheostomy in a patient with an expandable metallic tracheal Stent","volume":"119","author":"Madden","year":"2005","journal-title":"J Laryngol Otol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-258861","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:04:12Z","timestamp":1756364652000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-258861"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":6,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5,28]]},"published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1136\/bcr-2023-258861"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-258861","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,5]]}}}