A simple method for closure of tracheocutaneous fistula in children

• Published in: Archives of otolaryngology--head & neck surgery Vol. 123; no. 10; p. 1066
• Main Authors: Licameli, G R, Marsh, B R, Tunkel, D E
• Format: Journal Article
• Language: English
• Published: United States 01.10.1997
• Subjects: Child; Child, Preschool; Cutaneous Fistula - surgery; Humans; Respiratory Tract Fistula - surgery; Retrospective Studies; Surgical Procedures, Operative - methods; Tracheal Diseases - surgery; Treatment Outcome
• ISSN: 0886-4470
• DOI: 10.1001/archotol.1997.01900100040005

To review the results of a simple technique of closure of persistent tracheocutaneous fistula (TCF) in children. Retrospective case series. Tertiary pediatric otolaryngology referral center. Children (age, < 18 years) who underwent repair of TCF from July 1, 1991, to August 31, 1996. 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. Success of closure and number and types of complications. 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. This procedure is a simple, reliable method for closure of TCF in children.