Case report reveals that using an adjustable flange tracheostomy tube resolves cuff air leaks caused by tracheal dilatation in amyotrophic lateral sclerosis, highlighting cuff management strategies.
O. X-ray images indicated a reduction in the size of the previous cuff area. Tracheal dilatation due to improper management of cuff pressure is a contributing factor to air leakage at the cuff area, and using an adjustable flange tracheostomy tube in an effort to resolve such air leaks is a valid option.
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Shibasaki et al. (2024) studied this question.
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