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Updated: May 11, 2026
04:43
Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
Management of persistent tracheoesophageal puncture
Mohammad Kamal Mobashir1, Waleed M Basha, Abd Elraof Said Mohamed
1Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt, mobashir555@hotmail.com.
Summary
Enlarged tracheoesophageal puncture after voice prosthesis (VP) use can cause complications. A new surgical technique successfully closed these fistulas in all patients, preventing aspiration and improving recovery.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Speech Rehabilitation
Background:
- Tracheoesophageal puncture with voice prosthesis (VP) aids speech rehabilitation post-laryngectomy.
- Enlargement of the tracheoesophageal puncture is a complication leading to leakage, aspiration pneumonia, and respiratory issues.
- This necessitates VP removal and fistula closure.
Purpose of the Study:
- To present surgical closure of persistent tracheoesophageal puncture.
- To evaluate the efficacy of a specific surgical technique for enlarged tracheoesophageal fistulas.
Main Methods:
- A prospective study of five patients with enlarged tracheoesophageal puncture.
- Surgical technique involved blunt dissection, ligation of the fistula tract with non-resorbable sutures without division.
- Follow-up averaged 14.4 months.
Main Results:
- Successful closure of the tracheoesophageal fistula in 100% of patients.
- All patients tolerated oral feeding, experienced uneventful recovery, and had no further aspiration episodes.
- The technique proved simple, feasible, and effective.
Conclusions:
- The described surgical technique is a safe and effective method for closing persistent tracheoesophageal fistulas.
- This approach facilitates early oral feeding and reduces hospital stay, enhancing patient comfort.
- It offers a viable solution for managing VP-related complications.
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