A simple method for closure of tracheocutaneous fistula in children

Greg R. Licameli, Bernard R. Marsh, David E. Tunkel

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1066-1068
Number of pages3
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume123
Issue number10
DOIs
StatePublished - Oct 1997

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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