Iatrogenic tracheal rent: When oxygen supply was cut off by
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Any breach in tracheal integrity jeopardizes life. Esophagus forms a close posterior relation of the trachea and esophagectomy with gastric pull-up makes the trachea vulnerable to injury, especially if the trachea is already devitalized with a postcricoid tumor and radiotherapy.Eternal vigilance and preparedness for this rare but fatal complication can be life-saving.Airways of postradiotherapy and postchemotherapy female oncosurgical patients on steroid therapy are devitalized and any airway handling in such patients commands caution. We report a case of a large iatrogenic tracheal rent occurring during manipulation of a flexometallic tube through a tracheostomy stoma created in a patient with postcricoid carcinoma undergoing esophagectomy and gastric pull-up surgery. The timely detection, emergent and postoperative management strategies are discussed below...

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