Coblation-assisted closure of persistent tracheocutaneous fistulae
David L Walner1, Chris Mularczyk2, Kedar Kakodkar3
1Pediatric Otolaryngology, Pediatric Airway Center, Advocate Children's Hospital, Park Ridge, IL, USA.
Abstract:
Persistent tracheocutaneous fistulae (PTCFs) are sequelae of long-term tracheostomy tube use, and while many procedures exist to correct this issue, several are invasive and incur risk to the patient. This case study discusses a minimally invasive approach to closure of small PFTFs with a coblator device that may reduce the risks associated with other closure procedures. We demonstrated successful tracheocutaneous fistulae closure after coblation in all 4 patients that the operation was performed. We believe this technique can be considered for patients under select circumstances and can be part of a surgeon's armamentarium for the treatment of small PTCFs.
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