{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:20:00Z","timestamp":1788441600087,"version":"build-2803163510"},"reference-count":16,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,7,7]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Primary tracheal carcinoid presenting as an endoluminal mass is rare and its asthma-like symptoms commonly delay diagnosis. Complete surgical resection is the treatment of choice. We report a young man with a distal tracheal carcinoid in whom transoral rigid bronchoscopic resection was attempted but limited by tumour location in the lower third of the trachea, broad posterior-wall implantation and significant intra-operative bleeding. A low temporary tracheostomy was performed intra-operatively to provide a more direct and stable access route, allowing simultaneous use of a rigid endoscope and bipolar cautery for complete excision under single-lung ventilation. The tracheostomy was retained for 2\u2009weeks for surveillance bronchoscopy after which the patient was decannulated. We discuss this modified access route as a pragmatic adjunct in carefully selected distal tracheal lesions where standard transoral or transbronchoscopic resection is constrained by access, instrumentation or haemorrhage.<\/jats:p>","DOI":"10.1136\/bcr-2024-262236","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T15:20:30Z","timestamp":1784215230000},"page":"e262236","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Temporary tracheostomy access for endoscopic surgical management of primary tracheal carcinoid"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1739-3993","authenticated-orcid":false,"given":"Vikas","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of ENT and Head and Neck Surgery, Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran","family":"Upadhyay","sequence":"additional","affiliation":[{"name":"Department of ENT and Head and Neck Surgery, Command Hospital Pune, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritika","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of ENT and Head and Neck Surgery, Command Hospital Pune, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhav","family":"Reddy","sequence":"additional","affiliation":[{"name":"Command Hospital Lucknow, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"2026090306051811000_19.7.e262236.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2013.09.008"},{"key":"2026090306051811000_19.7.e262236.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.11.031"},{"key":"2026090306051811000_19.7.e262236.3","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s12070-011-0171-4","article-title":"Carcinoid of the trachea in a young adult male responsive to chemo-radiation","volume":"63","author":"Mukherji","year":"2011","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2026090306051811000_19.7.e262236.4","article-title":"Successful flexible bronchoscopic management of dynamic central airway obstruction by a large tracheal carcinoid tumor","volume":"2014","author":"Hadda","year":"2014","journal-title":"Case Rep Pulmonol"},{"key":"2026090306051811000_19.7.e262236.5","doi-asserted-by":"crossref","DOI":"10.1148\/rg.230045","article-title":"Malignant and benign tracheobronchial neoplasms: comprehensive review with radiologic, bronchoscopic, and pathologic correlation","volume":"43","author":"Girvin","year":"2023","journal-title":"Radiographics"},{"key":"2026090306051811000_19.7.e262236.6","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1097\/SMJ.0b013e31816bf624","article-title":"A primary tracheal carcinoid tumor masquerading as chronic obstructive pulmonary disease","volume":"101","author":"Uskul","year":"2008","journal-title":"South Med J"},{"key":"2026090306051811000_19.7.e262236.7","first-page":"519","article-title":"Neuroendocrine components of the bronchopulmonary tract: hyperplasias, dysplasias, and neoplasms","volume":"49","author":"Gould","year":"1983","journal-title":"Lab Invest"},{"key":"2026090306051811000_19.7.e262236.8","doi-asserted-by":"publisher","DOI":"10.1378\/chest.130.5.1405"},{"key":"2026090306051811000_19.7.e262236.9","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(90)90358-D"},{"key":"2026090306051811000_19.7.e262236.10","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)00732-1"},{"key":"2026090306051811000_19.7.e262236.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.07.097"},{"key":"2026090306051811000_19.7.e262236.12","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1159\/000362430","article-title":"Neuroendocrine tumors of the bronchopulmonary system (typical and atypical carcinoid tumors): current strategies in diagnosis and treatment. Conclusions of an expert meeting February 2011 in Weimar, Germany","volume":"37","author":"H\u00f6rsch","year":"2014","journal-title":"Oncol Res Treat"},{"key":"2026090306051811000_19.7.e262236.13","doi-asserted-by":"publisher","DOI":"10.1177\/0284185113496679"},{"key":"2026090306051811000_19.7.e262236.14","first-page":"S363","article-title":"From electrocautery, balloon dilatation, neodymium-doped:yttrium-aluminum-garnet (Nd:YAG) laser to argon plasma coagulation and cryotherapy","volume":"7","author":"Sachdeva","year":"2015","journal-title":"J Thorac Dis"},{"key":"2026090306051811000_19.7.e262236.15","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2024.110167","article-title":"Central airway carcinoid tumor mimicking chronic asthma and necessitating pneumonectomy: A case report","volume":"122","author":"Lisznyai","year":"2024","journal-title":"Int J Surg Case Rep"},{"key":"2026090306051811000_19.7.e262236.16","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1177\/01455613211015739","article-title":"A novel use of coblation in the treatment of tracheal tumors","volume":"102","author":"Wang","year":"2023","journal-title":"Ear Nose Throat J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-262236","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:05:24Z","timestamp":1788440724000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-262236"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":16,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,16]]},"published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1136\/bcr-2024-262236"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-262236","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}