Journal article
Local Repair of Persistent Tracheocutaneous Fistulas
Annals of otology, rhinology & laryngology, Vol.120(9), pp.622-626
09/2011
DOI: 10.1177/000348941112000912
PMID: 22032078
Abstract
Tracheocutaneous fistulas may persist after tracheostomy. Suture closure of the fistula may result in complications, including infection, wound dehiscence, and pneumomediastinum. We present a simplified and relatively safe technique to close persistent fistulas that may be performed under local anesthesia. A retrospective chart review was performed on 13 patients who were successfully treated, including 1 with incomplete closure that was successfully addressed by additional procedures. Our review included analysis of reported risk factors for persistence of tracheocutaneous fistulas: previous irradiation of the neck, an extended duration of cannulation, previous tracheostomies, obesity, and use of a Bjork flap or 4-flap epithelial-lined tracheostomy. All 13 patients in the study were found to have at least 1 of these risk factors.
Details
- Title: Subtitle
- Local Repair of Persistent Tracheocutaneous Fistulas
- Creators
- Sobia F Khaja - Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, IowaAaron M Fletcher - Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, IowaHenry T Hoffman - Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Annals of otology, rhinology & laryngology, Vol.120(9), pp.622-626
- DOI
- 10.1177/000348941112000912
- PMID
- 22032078
- NLM abbreviation
- Ann Otol Rhinol Laryngol
- ISSN
- 0003-4894
- eISSN
- 1943-572X
- Language
- English
- Date published
- 09/2011
- Academic Unit
- Radiation Oncology; Otolaryngology
- Record Identifier
- 9984006403302771
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