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H-Type Tracheoesophageal Fistula Cannulation for Rapid Intraoperative Localization
Soraya Abdul-Hadi1, Miguel A Serpa Irizarry2, Emanuel De-Miranda2
1Department of Otolaryngology - Head and Neck Surgery, School of Medicine, University of Puerto Rico, San Juan, Puerto Rico.
The Laryngoscope
|December 30, 2022
Summary
A novel plastic catheter loop technique simplifies tracheoesophageal fistula cannulation. This method aids in rapid intraoperative localization and manipulation of difficult fistulas for cervical access.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Tracheoesophageal fistula (TEF) cannulation presents surgical challenges.
- Existing techniques for TEF management are varied.
Observation:
- A unique loop was created using a standard plastic catheter.
- This loop facilitated traction and improved fistula manipulation.
Findings:
- The catheter loop enabled rapid intraoperative localization of the TEF.
- A superiorly located, difficult-to-reach fistula was successfully manipulated into the neck via a cervical approach.
Implications:
- This technique offers a potentially simpler and more effective method for TEF cannulation.
- It may improve outcomes for patients requiring complex TEF repair.
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