Standardizing the Management of Tracheostomy Dislodgement in Patients With Subglottic Stenosis

A 74-year-old female with tracheostomy due to laryngeal stenosis presented with a dislodged tube and significant stomal stenosis, making reinsertion challenging. Initial airway interventions included repeated failed reinsertion of tracheostomy tubes and unsuccessful endotracheal intubation. An emergent endotracheal tube was passed through the stoma by the anesthesia team after patient desaturation, and the patient was stabilized and transferred for specialized care. After successful intubation, the otolaryngologist performed tracheostomy revision. This case highlights airway management complexities in tracheostomal stenosis and underscores the need for a systematic approach and access to surgical specialists for successful intervention.