Management of traumatic tracheoesophageal fistula

Traumatic injury to the trachea most commonly results in separation of the trachea from the cricoid cartillage. In severe cases, this injury is complicated by an esophageal injury that is seriously complicated by a tracheoesophageal fistula. The repair of such a fistula is a prime priority. Surgical repair of the tracheal injury must be associated with esophageal repair and this is best accomplished by the interposition of the sternothyroid muscles between the trachea and the esophagus to strengthen the esophageal repair. The use of a laryngeal drop will also be of value in relieving the tension on the esophageal suture.