TY - JOUR
T1 - A simple method for closure of tracheocutaneous fistula in children
AU - Licameli, Greg R.
AU - Marsh, Bernard R.
AU - Tunkel, David E.
PY - 1997/10
Y1 - 1997/10
N2 - Objective: To review the results of a simple technique of closure of persistent tracheocutaneous fistula (TCF) in children. Design: Retrospective case series. Setting: Tertiary pediatric otolaryngology referral center. Patients: Children (age, <18 years) who underwent repair of TCF from July 1, 1991, to August 31, 1996. Interventions: Surgical closure of persistent TCF using multilayered closure of de-epithelialized local tissue. Tracheal dissection was not performed. A thermal hemostatic scalpel was used in some cases to assist in de-epithelialization and provide hemostasis without electrocautery near the airway. Main Outcome Measures: Success of closure and number and types of complications. Results: Nine procedures were performed in 8 children. Seven (88%) of 8 primary procedures were successful, but early recurrent TCF developed in 1 patient. Revision surgery using an identical surgical technique, but maintaining endotracheal intubation for 48 hours, was successful in this patient. No complications occurred. Conclusions: This procedure is a simple, reliable method for closure of TCF in children.
AB - Objective: To review the results of a simple technique of closure of persistent tracheocutaneous fistula (TCF) in children. Design: Retrospective case series. Setting: Tertiary pediatric otolaryngology referral center. Patients: Children (age, <18 years) who underwent repair of TCF from July 1, 1991, to August 31, 1996. Interventions: Surgical closure of persistent TCF using multilayered closure of de-epithelialized local tissue. Tracheal dissection was not performed. A thermal hemostatic scalpel was used in some cases to assist in de-epithelialization and provide hemostasis without electrocautery near the airway. Main Outcome Measures: Success of closure and number and types of complications. Results: Nine procedures were performed in 8 children. Seven (88%) of 8 primary procedures were successful, but early recurrent TCF developed in 1 patient. Revision surgery using an identical surgical technique, but maintaining endotracheal intubation for 48 hours, was successful in this patient. No complications occurred. Conclusions: This procedure is a simple, reliable method for closure of TCF in children.
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U2 - 10.1001/archotol.1997.01900100040005
DO - 10.1001/archotol.1997.01900100040005
M3 - Article
C2 - 9339982
AN - SCOPUS:0030830970
SN - 0886-4470
VL - 123
SP - 1066
EP - 1068
JO - Archives of Otolaryngology--Head and Neck Surgery
JF - Archives of Otolaryngology--Head and Neck Surgery
IS - 10
ER -