Tracheocutaneous Fistula Closure with Turnover Flap and Polydioxanone Plate
Justin R Bryant1, Thanapoom Boonipat1, Kongkrit Chaiyasate1
1Department of Plastic Surgery, Beaumont - Farmington Hills Plastic Surgery Fellowship, Farmington Hills, Mich.; Department of Plastic Surgery, Mayo Clinic Plastic and Reconstructive Surgery, Rochester, Minn.; and Department of Plastic Surgery, Beaumont - Royal Oak Plastic and Reconstructive Surgery, Royal Oak, Mich.
Abstract:
An alternative surgical treatment is proposed for closure of tracheocutaneous fistulas. The authors present a new technique for reconstruction of persistent tracheocutaneous fistula resultant from temporary tracheostomy. The single-stage closure under local anesthesia involves a fistulous tract turnover flap with a perforated 0.15 mm polydioxanone plate between the flap and the subcutaneous closure. This article presents 3 cases of persistent tracheocutaneous fistula treated by this method. At follow-up examination after follow-up, no recurrent fistula formation had occurred, and no respiratory deformity was present.
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