Cervical aerocele in a tracheotomy dependent pediatric patient.

A 2-year-old female with tracheotomy dependent congenital bilateral vocal cord paralysis presented with a cervical aerocele inferior to the tracheotomy site. Management included bronchoscopy and surgical decompression with drain insertion and pressure dressings. Review of the literature shows no similar episodes reported of an acquired aerocele associated with a maintained tracheotomy.