My brother had a neck surgery last year, requiring a tracheotomy for over ten months. The trach tube was removed, and he was told due that, due to his age and diabetes and how long he had the trach, it might take a month or more for the stoma to heal over. Four months later, it shows no signs of closing. It is like the earring hole in your ears, basically permanent, as far as I can see. What can be done? Can it be debrided or facilitated surgically somehow?
The next problem is that, if he was weaned before they removed the trach, the weaning has reversed. He breathes only through the trach stoma, and for the past 4 months, that is room air filtered only by the gauze dressing.
Would you recommend starting over? Replacing the trach so it can be capped for training mouth/nose breathing or using a Passy Muir or another standard weaning protocol? I am afraid the stoma has no chance of healing over if it is his primary airway.
Thanks for your advice.
I am a trached person..I have known others who had trachs removed but had problems with their stoma closing. There is surgery that can close the hole, it sounds like your brother would benefit from this. See an ENT about this as they have the expertise dealing with trachs. As far as breathing through his stoma, it makes sense that he is...I can tell you from personal experience that if I walked around with my trach uncapped and open, that breathing would be primarily through the tube as it is lower than my mouth and nose. When I cover it up, I am able to breathe through my nose and mouth as long as my cuff is deflated as well. Is your brother able to do this....have him cover up his stoma with a clean hand and see if he can breathe through his mouth/nose. If he can, he will probably be fine.
Remember, I am not a doctor...the doc will be able to give the best advice. I hope his stoma heals soon. Must be frustrating for him.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.