Mubasher Ikram, Masiam Abbas S Onali, Ahmad Nawaz Ahmad, Sadaf Zia Saeed.
Complication - learning experience, Tracheo-esophageal fistula following prolonged intubation.
Pak J Otolaryngol Jan ;22(1):24-5.

The occurrence of tracheo-oesophageal necrosis leading to bilateral tension pneumothorax following prolonged intubation is reported. A young male of 15 years, remained intubated for 28 days after which an elective tracheostomy was done. The patient developed bilateral tension pneumothorax on the operating table and died. Post mortem endoscopy showed a tracheo-oesophageal wall necrosis. If not suspected prior to surgery and measures are not taken to prevent such an event, it can result in drastic outcome.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com