Use of deep cervical halo in the preservation of tracheostimised airway in prone position

With great Interest we have read the case report, Intraoperative airway obstruction related to tracheostomy tube malposition in a patient with achondroplasia and Jeune s syndrome1 but I am of the view that the same airway could have been preserved and author’s decision of abandoning the case in the first instance and later removing the tracheostomy tube and replacing it with an armoured tube in the subsequent instances could have been modified, so that repeated manipulation of airway in such cases could have been avoided and procedures could have been accomplished in a routine manner.